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Individual

MR. GEORGE ROBERT I. VICTORIANO III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
115 MALL DR, HANFORD, CA 93230-5786
(956) 867-1655
Mailing address
1332 N LINDA VISTA CT, VISALIA, CA 93291-3287
(956) 867-1655

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101380
TX

Other

Enumeration date
12/16/2013
Last updated
09/10/2020
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