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1801458005
BEDIVIER CASTANIAGA
SAN DIEGO, CA
NPI
1801458005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 287267)
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
BEDIVIER CASTANIAGA
2865 LOGAN AVE
SAN DIEGO, CA 92113-2411
Phone number: 619-232-4357
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Mailing Address
BEDIVIER CASTANIAGA
2865 LOGAN AVE
SAN DIEGO, CA 92113-2411
Phone number:
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