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1538779020
GRACE LUMENARIO CECILIO
SAN DIEGO, CA
NPI
1538779020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 695643)
Enumeration Date
2020-08-09
Last Update Date
2020-08-09
Business Address
GRACE LUMENARIO CECILIO RN
GEORGE BAILEY DETENTION FACILITY 446 ALTA RD STE 5300
SAN DIEGO, CA 92158-0001
Phone number: 619-661-2789
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Mailing Address
GRACE LUMENARIO CECILIO RN
5757 LAKE MURRAY BLVD APT 89
LA MESA, CA 91942-2208
Phone number: 619-892-6279
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