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1174178685
AJA LATYOA SEALEY
FONTANA, CA
NPI
1174178685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN692184)
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
AJA LATYOA SEALEY
14677 MERRIL AVENUE
FONTANA, CA 92335
Phone number: 951-643-2340
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Mailing Address
AJA LATYOA SEALEY
2669 W VIA SAN MIGUEL
SAN BERNARDINO, CA 92410-1969
Phone number: 909-714-9889
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