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1205102449
SUSANNA MORA
COLTON, CA
NPI
1205102449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 809329)
Enumeration Date
2012-03-30
Last Update Date
2012-03-30
Business Address
-- SUSANNA MORA
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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Mailing Address
-- SUSANNA MORA
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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