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1871362186
ANTEDAR PSYCHIATRIC NURSING PROFESSIONAL SERVICES, INC
RIVERSIDE, CA
NPI
1871362186
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Entity Type
Organization
Authorized Contact
BARIASA KANABOLO
CEO
951-236-9430
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-12-28
Last Update Date
2023-12-29
Business Address
ANTEDAR PSYCHIATRIC NURSING PROFESSIONAL SERVICES, INC
6860 BROCKTON AVE
RIVERSIDE, CA 92506-3821
Phone number: 951-236-9430
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Mailing Address
ANTEDAR PSYCHIATRIC NURSING PROFESSIONAL SERVICES, INC
PO BOX 51927
RIVERSIDE, CA 92517-2927
Phone number: 951-236-9430
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