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1720784390
SENIOR ADJAINO
GARDEN GROVE, CA
NPI
1720784390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95024107)
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
SENIOR ADJAINO
12601 GARDEN GROVE BLVD
GARDEN GROVE, CA 92843-1908
Phone number: 714-741-2789
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Mailing Address
SENIOR ADJAINO
PO BOX 749
GARDEN GROVE, CA 92842-0749
Phone number: 714-280-6049
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