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1285289074
MICHELLE DIANE PONCE
SAN DIEGO, CA
NPI
1285289074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 258414)
Enumeration Date
2019-08-07
Last Update Date
2019-08-13
Business Address
MICHELLE DIANE PONCE LVN
1260 MORENA BLVD
SAN DIEGO, CA 92110
Phone number: 619-398-0355
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Mailing Address
MICHELLE DIANE PONCE LVN
1325 CRAIGMONT ST
EL CAJON, CA 92019-3108
Phone number: 858-437-3112
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