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1609636844
PETRUS JOHANNES JANSEN VAN RENSBURG
LOS ANGELES, CA
NPI
1609636844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-21
Last Update Date
2024-03-21
Business Address
PETRUS JOHANNES JANSEN VAN RENSBURG
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number: 628-888-4354
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Mailing Address
PETRUS JOHANNES JANSEN VAN RENSBURG
103 BOLINAS AVE
ROSS, CA 94957-9644
Phone number: 628-888-4354
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