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1023436813
LAURENCE CECILIO
FAIRFIELD, CA
NPI
1023436813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95011502)
Enumeration Date
2014-03-31
Last Update Date
2019-05-02
Business Address
LAURENCE CECILIO NP
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533-3552
Phone number: 707-646-5000
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Mailing Address
LAURENCE CECILIO NP
5980 W 71ST ST STE 102
INDIANAPOLIS, IN 46278-1785
Phone number: 317-388-0800
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