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1417230509
FONTAINE SADLAK
SAN DIEGO, CA
NPI
1417230509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 260620)
Enumeration Date
2011-09-24
Last Update Date
2011-09-24
Business Address
Mrs. FONTAINE SADLAK
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 760-910-6217
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Mailing Address
Mrs. FONTAINE SADLAK
3760 ULLA LN
LAKE ELSINORE, CA 92530-5341
Phone number: 951-907-7244
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