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1043686231
MAURICE LAUDERDALE
COLTON, CA
NPI
1043686231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 806851)
Enumeration Date
2015-08-11
Last Update Date
2015-08-11
Business Address
-- MAURICE LAUDERDALE
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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Mailing Address
-- MAURICE LAUDERDALE
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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