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1528338225
EDRENA POLK
COLTON, CA
NPI
1528338225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 550513)
Enumeration Date
2012-01-11
Last Update Date
2012-01-11
Business Address
-- EDRENA POLK
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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Mailing Address
-- EDRENA POLK
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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