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1609462845
FIDES D ANTONIO
WALNUT CREEK, CA
NPI
1609462845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95015546)
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
FIDES D ANTONIO NP
130 LA CASA VIA STE 108
WALNUT CREEK, CA 94598-3036
Phone number: 877-448-3627
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Mailing Address
FIDES D ANTONIO NP
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527-0872
Phone number: 630-655-6748
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