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1215493044
ANTONIA DE LA ISLA BOLANOS
FRESNO, CA
NPI
1215493044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA WV203250)
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
ANTONIA DE LA ISLA BOLANOS LVN
5540 E LORENA AVE
FRESNO, CA 93727-6330
Phone number: 559-916-3104
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Mailing Address
ANTONIA DE LA ISLA BOLANOS LVN
5540 E LORENA AVE
FRESNO, CA 93727-6330
Phone number:
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