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1568079101
KEVIN ROGER IRWIN
CHULA VISTA, CA
NPI
1568079101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95097662)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
KEVIN ROGER IRWIN
87 BONITA RD
CHULA VISTA, CA 91910-3043
Phone number: 619-621-4685
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Mailing Address
KEVIN ROGER IRWIN
87 BONITA RD
CHULA VISTA, CA 91910-3043
Phone number:
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