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1366900664
DIEGO ULISES SANTOS
FRESNO, CA
NPI
1366900664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 701904)
Enumeration Date
2019-03-05
Last Update Date
2019-03-05
Business Address
DIEGO ULISES SANTOS
4411 E KINGS CANYON RD STE 319
FRESNO, CA 93702-3604
Phone number: 559-600-2382
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Mailing Address
DIEGO ULISES SANTOS
3433 W SHAW AVE STE 107
FRESNO, CA 93711-3229
Phone number: 559-558-4051
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