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1366778102
MARJORIE LAWREL RILEY
MODESTO, CA
NPI
1366778102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 284599)
Enumeration Date
2009-10-29
Last Update Date
2009-10-29
Business Address
-- MARJORIE LAWREL RILEY PHN
830 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-558-7700
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Mailing Address
-- MARJORIE LAWREL RILEY PHN
830 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-558-7700
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