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1184927881
LIWANAG COMIA POLANTE
SACRAMENTO, CA
NPI
1184927881
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Former Name
LIWANAG POLANTE GULAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN194623)
Enumeration Date
2010-12-19
Last Update Date
2010-12-19
Business Address
-- LIWANAG COMIA POLANTE
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-875-1000
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Mailing Address
-- LIWANAG COMIA POLANTE
4913 CHERRYVILLE LN
SACRAMENTO, CA 95842-3676
Phone number: 916-339-0941
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