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1134546617
FERNANDO LUIS MOULTON
PERRIS, CA
NPI
1134546617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-03-24
Last Update Date
2014-03-24
Business Address
-- FERNANDO LUIS MOULTON
1688 PERRIS BLVD, SUITE L6-11
PERRIS, CA 92571
Phone number: 951-443-2200
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Mailing Address
-- FERNANDO LUIS MOULTON
1720 BENTON WAY
PERRIS, CA 92571-3891
Phone number: 951-707-8587
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