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1730845041
ALISON RAE TICKENOFF
SANTA ANA, CA
NPI
1730845041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 259207)
Enumeration Date
2021-11-10
Last Update Date
2021-11-10
Business Address
ALISON RAE TICKENOFF LVN
1950 E 17TH ST
SANTA ANA, CA 92705-6852
Phone number: 714-547-5375
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Mailing Address
ALISON RAE TICKENOFF LVN
1950 E 17TH ST
SANTA ANA, CA 92705-6852
Phone number:
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