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1487138285
DEBRA NULL
CERES, CA
NPI
1487138285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 268531)
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
DEBRA NULL
1904 RICHLAND AVE BLDG A
CERES, CA 95307-4562
Phone number: 209-300-8800
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Mailing Address
DEBRA NULL
2621 PRESCOTT RD SPC 144
MODESTO, CA 95350-0256
Phone number:
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