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1568687275
CHRISTAL LA SHAWN FENNELL
RANCHO CUCAMONGA, CA
NPI
1568687275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA vn220919)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- CHRISTAL LA SHAWN FENNELL LVN
10935 TERRA VISTA PKWY APT 83
RANCHO CUCAMONGA, CA 91730-6348
Phone number: 909-484-3968
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Mailing Address
-- CHRISTAL LA SHAWN FENNELL LVN
10935 TERRA VISTA PKWY APT 83
RANCHO CUCAMONGA, CA 91730-6348
Phone number: 909-484-3968
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