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1225612468
MARCUS WAYNE RILEY
WALNUT, CA
NPI
1225612468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95016882)
Enumeration Date
2021-05-12
Last Update Date
2021-06-15
Business Address
Mr. MARCUS WAYNE RILEY FNP-C
340 S LEMON AVE # 9892
WALNUT, CA 91789-2706
Phone number: 415-403-2156
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Mailing Address
Mr. MARCUS WAYNE RILEY FNP-C
PO BOX 2039
RUNNING SPRINGS, CA 92382-2039
Phone number: 818-754-7321
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