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1629662564
BRENTON LEE
RIVERSIDE, CA
NPI
1629662564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 95001493)
Enumeration Date
2021-02-22
Last Update Date
2023-03-27
Business Address
BRENTON LEE DNP, CRNA
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 817-565-4405
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Mailing Address
BRENTON LEE DNP, CRNA
12535 HESBY ST
VALLEY VILLAGE, CA 91607-2930
Phone number: 817-565-4405
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