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1942938980
NATHAN ALLEN SANTIBANEZ
MISSION VIEJO, CA
NPI
1942938980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95021131)
Enumeration Date
2022-08-09
Last Update Date
2022-08-11
Business Address
NATHAN ALLEN SANTIBANEZ PMHNP
27281 LAS RAMBLAS STE 255
MISSION VIEJO, CA 92691-6324
Phone number: 714-421-2757
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Mailing Address
NATHAN ALLEN SANTIBANEZ PMHNP
PO BOX 738
SAN JUAN CAPISTRANO, CA 92693-0738
Phone number:
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