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1912699828
MCKENNAH BLUE
COSTA MESA, CA
NPI
1912699828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: CA 95330977)
Enumeration Date
2023-05-22
Last Update Date
2023-07-31
Business Address
MCKENNAH BLUE RN
301 VICTORIA ST
COSTA MESA, CA 92627-7131
Phone number: 949-642-2734
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Mailing Address
MCKENNAH BLUE RN
147 VIRGINIA PL
COSTA MESA, CA 92627-1712
Phone number: 949-872-9669
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