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1316239676
DIANE CAROL FENNELL
RIVERSIDE, CA
NPI
1316239676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: CA 396779)
Enumeration Date
2011-05-05
Last Update Date
2011-05-05
Business Address
Mrs. DIANE CAROL FENNELL RN
12041 JONATHAN DR
RIVERSIDE, CA 92503-5946
Phone number: 951-312-9250
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Mailing Address
Mrs. DIANE CAROL FENNELL RN
12041 JONATHAN DR
RIVERSIDE, CA 92503-5946
Phone number: 951-312-9250
Copy
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