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1003378043
ILDEFONSO SILVA RODRIGUEZ
CAMARILLO, CA
NPI
1003378043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 666430)
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
ILDEFONSO SILVA RODRIGUEZ RN
2437 WOODCREEK RD
CAMARILLO, CA 93012-2537
Phone number: 805-312-0362
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Mailing Address
ILDEFONSO SILVA RODRIGUEZ RN
2437 WOODCREEK RD
CAMARILLO, CA 93012-2537
Phone number: 805-312-0362
Copy
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