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1417649013
ETHLENE EVETTE DADE
VICTORVILLE, CA
NPI
1417649013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95025043)
Enumeration Date
2023-05-23
Last Update Date
2023-05-23
Business Address
ETHLENE EVETTE DADE FNP
14390 DALTON CT
VICTORVILLE, CA 92394-3212
Phone number: 323-973-3647
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Mailing Address
ETHLENE EVETTE DADE FNP
14390 DALTON CT
VICTORVILLE, CA 92394-3212
Phone number: 323-973-3647
Copy
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