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1457533291
LINA MICHELLE CARRILLO-FULK
PERRIS, CA
NPI
1457533291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: CA 257962)
Enumeration Date
2007-12-04
Last Update Date
2007-12-04
Business Address
-- LINA MICHELLE CARRILLO-FULK RN, PHN
308 EAST SAN JACINTO AVENUE
PERRIS, CA 92570
Phone number: 951-210-1349
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Mailing Address
-- LINA MICHELLE CARRILLO-FULK RN, PHN
4065 COUNTY CIRCLE DR
RIVERSIDE, CA 92503-3410
Phone number: 951-210-1349
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