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1972134047
PRINCE M JOSE
FAIRFIELD, CA
NPI
1972134047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 751524)
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
PRINCE M JOSE
1818 ASHFORD CT
FAIRFIELD, CA 94533-8997
Phone number: 404-680-0996
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Mailing Address
PRINCE M JOSE
1818 ASHFORD CT
FAIRFIELD, CA 94533-8997
Phone number: 404-680-0996
Copy
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