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Edwin Borcelis Graham, RN
Community Health Registered Nurse in Pasadena, California
NPI 1851509178

Edwin Borcelis Graham is a Community Health Registered Nurse based in Los Angeles, CA and is specialized in Community Health. Edwin Borcelis Graham practices in Pasadena, CA and has the professional credentials of RN. The NPI Number for Edwin Borcelis Graham is 1851509178 and holds a License No. 371266 (California).

The current practice location address for Edwin Borcelis Graham is 1845 N Fair Oaks Ave, Pasadena, CA and can be reached out via phone at 626-744-6005.

Location: 1845 N Fair Oaks Ave, Pasadena, CA, 90048-5409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851509178
Provider Name
Edwin Borcelis Graham
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
1845 N Fair Oaks Ave, Pasadena, CA, 90048-5409
Phone Number
626-744-6005
Fax Number
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371266 01 CA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1845 N Fair Oaks Ave
City
Pasadena
State
California
Zip
91103-1620
Phone Number
626-744-6005
Fax Number
person
Provider Business Mailing Address Details
Address
1845 N Fair Oaks Ave
City
Pasadena
State
California
Zip
91103-1620
Phone Number
626-744-6005
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
163WC1500X
License No.
371266 (California)
Definition
Definition to come...
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