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1992456800
DARRELL WAYNE ANDERSON
COSTA MESA, CA
NPI
1992456800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA RN95265676)
Enumeration Date
2022-01-12
Last Update Date
2022-04-09
Business Address
DARRELL WAYNE ANDERSON
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 949-574-3364
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Mailing Address
DARRELL WAYNE ANDERSON
33938 GOLDEN LANTERN ST
DANA POINT, CA 92629-2376
Phone number: 949-294-4957
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