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1861135907
RUSSELL PATRICK TANEGA
SAN FRANCISCO, CA
NPI
1861135907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 266896)
Enumeration Date
2022-04-17
Last Update Date
2022-04-17
Business Address
RUSSELL PATRICK TANEGA LVN
1421 BRODERICK ST
SAN FRANCISCO, CA 94115-3304
Phone number: 415-292-1760
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Mailing Address
RUSSELL PATRICK TANEGA LVN
1421 BRODERICK ST
SAN FRANCISCO, CA 94115-3304
Phone number: 415-292-1760
Copy
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