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1881351336
KIANO CHARLES PRATER
SAN DIEGO, CA
NPI
1881351336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse Psychiatric/Mental Health, Adult
(Licence: CA 95240918)
Enumeration Date
2021-11-18
Last Update Date
2021-11-18
Business Address
KIANO CHARLES PRATER
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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Mailing Address
KIANO CHARLES PRATER
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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