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1093278889
CAROLYN FASAKIN
POMONA, CA
NPI
1093278889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 760974)
Enumeration Date
2019-04-09
Last Update Date
2019-04-09
Business Address
CAROLYN FASAKIN
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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Mailing Address
CAROLYN FASAKIN
16260 WIND FOREST WAY
CHINO HILLS, CA 91709-4649
Phone number: 909-569-9491
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