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1164881983
RAY DELA PENA
MERCED, CA
NPI
1164881983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 208911)
Enumeration Date
2016-02-22
Last Update Date
2016-02-22
Business Address
-- RAY DELA PENA
300 E 15TH ST
MERCED, CA 95341-6217
Phone number: 209-381-6879
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Mailing Address
-- RAY DELA PENA
PO BOX 2084
MERCED, CA 95344-0084
Phone number: 209-381-7879
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