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1275289050
CRISTY LICON
RIVERSIDE, CA
NPI
1275289050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 246340)
Enumeration Date
2022-03-01
Last Update Date
2022-03-01
Business Address
CRISTY LICON
2085 RUSTIN AVE
RIVERSIDE, CA 92507-2498
Phone number: 951-955-7320
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Mailing Address
CRISTY LICON
16283 STARVIEW ST
MORENO VALLEY, CA 92551-7215
Phone number:
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