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1003465105
KENNETH PAOLO DAGDAG LISING
FULLERTON, CA
NPI
1003465105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95012739)
Enumeration Date
2019-09-11
Last Update Date
2021-11-11
Business Address
KENNETH PAOLO DAGDAG LISING MSN, APRN, FNP-C
2141 N HARBOR BLVD STE 25000
FULLERTON, CA 92835-3830
Phone number: 714-626-8650
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Mailing Address
KENNETH PAOLO DAGDAG LISING MSN, APRN, FNP-C
10283 JASMINE CT
STANTON, CA 90680-8505
Phone number: 714-262-1660
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