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1558985929
DELORA WILEY
ROSEVILLE, CA
NPI
1558985929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 707209)
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
DELORA WILEY
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
DELORA WILEY
10540 REDBURN LN APT 3
RANCHO CORDOVA, CA 95670-4735
Phone number:
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