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1710604525
VICMAR BURGONIO
IRVINE, CA
NPI
1710604525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95022430)
Enumeration Date
2022-10-24
Last Update Date
2022-10-24
Business Address
VICMAR BURGONIO FNP
6670 ALTON PKWY
IRVINE, CA 92618-3734
Phone number: 833-574-2273
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Mailing Address
VICMAR BURGONIO FNP
6670 ALTON PKWY
IRVINE, CA 92618-3734
Phone number:
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