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1578261384
ITZEL BORJA RIVERA
COSTA MESA, CA
NPI
1578261384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 95312979)
Enumeration Date
2023-02-21
Last Update Date
2023-02-21
Business Address
ITZEL BORJA RIVERA
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 949-642-2734
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Mailing Address
ITZEL BORJA RIVERA
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 949-642-2734
Copy
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