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1861227613
DIVINE ANESTHESIA INC
CERRITOS, CA
NPI
1861227613
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Entity Type
Organization
Authorized Contact
MATTHEW ROSALES
Owner
949-588-2190
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
DIVINE ANESTHESIA INC
16543 CARMENITA RD
CERRITOS, CA 90703-2218
Phone number: 562-219-7251
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Mailing Address
DIVINE ANESTHESIA INC
5 HOLLAND STE 101
IRVINE, CA 92618-2568
Phone number: 949-588-2190
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