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1104008853
LYNDA DIANE PERINO
MODESTO, CA
NPI
1104008853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 320906)
Enumeration Date
2007-12-04
Last Update Date
2007-12-04
Business Address
Ms. LYNDA DIANE PERINO RN PHN
830 SCENIC DR BLDG 3 RM 7
MODESTO, CA 95350-6131
Phone number: 209-652-1618
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Mailing Address
Ms. LYNDA DIANE PERINO RN PHN
PO BOX 3127
MODESTO, CA 95353-3127
Phone number: 209-652-1618
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