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1003019282
RONALD D FILLMORE
LONG BEACH, CA
NPI
1003019282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: CA 305990)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
-- RONALD D FILLMORE CRNFA
2776 PACIFIC AVE PACIFIC HOSPITAL OF LONG BEACH
LONG BEACH, CA 90806-2613
Phone number: 760-534-9550
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Mailing Address
-- RONALD D FILLMORE CRNFA
PO BOX 6580
LONG BEACH, CA 90806-6580
Phone number: 760-534-9550
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