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1841051489
RUSSEL MENDOZA ILAGAN
SANTA ANA, CA
NPI
1841051489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95222015)
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
RUSSEL MENDOZA ILAGAN RN,BSN
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 800-914-4887
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Mailing Address
RUSSEL MENDOZA ILAGAN RN,BSN
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number:
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