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1215243647
CARILISS TILLIS
SAN DIEGO, CA
NPI
1215243647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 187272)
Enumeration Date
2010-08-23
Last Update Date
2010-08-23
Business Address
-- CARILISS TILLIS LVN
600 B ST STE 1570
SAN DIEGO, CA 92101-4560
Phone number: 619-615-0439
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Mailing Address
-- CARILISS TILLIS LVN
600 B ST STE 1570
SAN DIEGO, CA 92101-4560
Phone number: 619-615-0439
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