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1710575782
MICHAEL RANDALL MADRID
SAN DIEGO, CA
NPI
1710575782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 744529)
Enumeration Date
2021-01-05
Last Update Date
2021-01-06
Business Address
Mr. MICHAEL RANDALL MADRID RN
10313 SILVER PINE WAY
SAN DIEGO, CA 92127-2833
Phone number: 858-442-4652
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Mailing Address
Mr. MICHAEL RANDALL MADRID RN
10313 SILVER PINE WAY
SAN DIEGO, CA 92127-2833
Phone number: 858-442-4652
Copy
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