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1861669459
DOMEL BRIONES EVANGELISTA
SANTA ANA, CA
NPI
1861669459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN 226734)
Enumeration Date
2008-05-13
Last Update Date
2008-05-13
Business Address
-- DOMEL BRIONES EVANGELISTA
1209 HEMLOCK WAY
SANTA ANA, CA 92707-3609
Phone number: 714-546-1966
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Mailing Address
-- DOMEL BRIONES EVANGELISTA
1607 CALLE DEL SOL APARTMENT H
ANAHEIM, CA 92802
Phone number: 714-563-0198
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