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1134467913
PATRICK MARK MEMPIN DACULLO
FAIRFIELD, CA
NPI
1134467913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 823482)
Enumeration Date
2013-01-29
Last Update Date
2013-01-29
Business Address
PATRICK MARK MEMPIN DACULLO RN
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-750-3000
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Mailing Address
PATRICK MARK MEMPIN DACULLO RN
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number:
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