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1154080943
LAWRENCE CARRILLO
ORANGE, CA
NPI
1154080943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95070262)
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
LAWRENCE CARRILLO
2501 E CHAPMAN AVE STE 203
ORANGE, CA 92869-3204
Phone number: 714-628-3230
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Mailing Address
LAWRENCE CARRILLO
2501 E CHAPMAN AVE STE 203
ORANGE, CA 92869-3204
Phone number: 714-628-3230
Copy
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