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1033597109
LUTHERINE FORKS
MORENO VALLEY, CA
NPI
1033597109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 396608)
Enumeration Date
2015-05-11
Last Update Date
2015-05-11
Business Address
-- LUTHERINE FORKS RN
26335 FIR AVE
MORENO VALLEY, CA 92555-2211
Phone number: 310-462-7387
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Mailing Address
-- LUTHERINE FORKS RN
26335 FIR AVE
MORENO VALLEY, CA 92555-2211
Phone number: 310-462-7387
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