AUSTIN PAUL PROVENCHER

PASADENA, CA
NPI1851828818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN259764)
Enumeration Date2017-05-20
Last Update Date2017-05-20
Business Address
Mr. AUSTIN PAUL PROVENCHER LVN
1855 N FAIR OAKS AVE
PASADENA, CA 91103-1620
Phone number: 626-398-6300
Mailing Address
Mr. AUSTIN PAUL PROVENCHER LVN
455 W MONTANA ST
PASADENA, CA 91103-1327
Phone number: 626-808-4200
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