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1437811148
SAMUEL MACEDA DEGUZMAN
FONTANA, CA
NPI
1437811148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 217777)
Enumeration Date
2021-10-10
Last Update Date
2021-10-10
Business Address
Mr. SAMUEL MACEDA DEGUZMAN LVN
13763 SUNRISE ST
FONTANA, CA 92336-3834
Phone number: 909-638-6703
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Mailing Address
Mr. SAMUEL MACEDA DEGUZMAN LVN
13763 SUNRISE ST
FONTANA, CA 92336-3834
Phone number: 909-638-6703
Copy
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