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1669139697
FERNANDA KATHY LARA
COLTON, CA
NPI
1669139697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95247134)
Enumeration Date
2021-11-24
Last Update Date
2021-11-24
Business Address
FERNANDA KATHY LARA RN
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-508-1800
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Mailing Address
FERNANDA KATHY LARA RN
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number:
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