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1609112077
ANTHONY RAYMOND FIDEL
HAYWARD, CA
NPI
1609112077
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Former Name
ANTHONY LECHUGA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 829477)
Enumeration Date
2012-12-12
Last Update Date
2012-12-12
Business Address
-- ANTHONY RAYMOND FIDEL
25588 MAITLAND DR
HAYWARD, CA 94542-1823
Phone number: 510-921-2532
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Mailing Address
-- ANTHONY RAYMOND FIDEL
25588 MAITLAND DR
HAYWARD, CA 94542-1823
Phone number: 510-921-2532
Copy
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