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1336003912
SELAM W HAGOS
FONTANA, CA
NPI
1336003912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: CA 95298359)
Enumeration Date
2025-12-09
Last Update Date
2025-12-09
Business Address
SELAM W HAGOS RN
7983 HEMINGWAY CT
FONTANA, CA 92336-5492
Phone number: 323-603-1885
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Mailing Address
SELAM W HAGOS RN
7983 HEMINGWAY CT
FONTANA, CA 92336-5492
Phone number: 323-603-1885
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