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1134494073
LAJUANA DERICO
LANCASTER, CA
NPI
1134494073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 647897)
Enumeration Date
2012-03-10
Last Update Date
2012-03-10
Business Address
Ms. LAJUANA DERICO RN
907 W LANCASTER BLVD
LANCASTER, CA 93534-2305
Phone number: 661-726-2630
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Mailing Address
Ms. LAJUANA DERICO RN
907 W LANCASTER BLVD
LANCASTER, CA 93534-2305
Phone number: 661-726-2630
Copy
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