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1376035998
PHYLLIS DOCTOR
SANTA ANA, CA
NPI
1376035998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 444236)
Enumeration Date
2018-05-30
Last Update Date
2018-05-30
Business Address
PHYLLIS DOCTOR LVN
3919 W HAZARD AVE
SANTA ANA, CA 92703
Phone number: 800-970-3973
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Mailing Address
PHYLLIS DOCTOR LVN
17150 NEWHOPE ST STE 706
FOUNTAIN VALLEY, CA 92708-4255
Phone number:
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