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1568071660
ELIZABETH ANN CUSTODIO
ORANGE, CA
NPI
1568071660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95010582)
Enumeration Date
2020-07-24
Last Update Date
2023-11-27
Business Address
ELIZABETH ANN CUSTODIO NP-C
170 S MAIN ST
ORANGE, CA 92868-2801
Phone number: 714-288-7651
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Mailing Address
ELIZABETH ANN CUSTODIO NP-C
38919 HUDDLESTONE CT
MURRIETA, CA 92563-2589
Phone number: 951-894-6484
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