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1801163118
N/A
TEMECULA, CA
NPI
1801163118
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Entity Type
Organization
Authorized Contact
JHERMIE BUSTAMANTE SALAS
RN
951-970-2856
Organization Subpart ?
No
Primary Taxonomy
163W00000X Registered Nurse
Enumeration Date
2011-11-30
Last Update Date
2011-11-30
Business Address
N/A
29078 PROVIDENCE RD
TEMECULA, CA 92591-5597
Phone number: 951-970-2856
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Mailing Address
N/A
29078 PROVIDENCE RD
TEMECULA, CA 92591-5597
Phone number:
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