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1174053912
VIVIAN LE
POMONA, CA
NPI
1174053912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: CA 95033292)
Enumeration Date
2017-06-14
Last Update Date
2017-06-14
Business Address
VIVIAN LE RN
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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Mailing Address
VIVIAN LE RN
10408 FELIPE AVE
MONTCLAIR, CA 91763-4394
Phone number: 909-305-3570
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