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1669143608
CHANELLE WILSON
LONG BEACH, CA
NPI
1669143608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 271580)
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
CHANELLE WILSON
1501 HUGHES WAY STE 150
LONG BEACH, CA 90810-1878
Phone number: 310-221-6336
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Mailing Address
CHANELLE WILSON
1501 HUGHES WAY STE 150
LONG BEACH, CA 90810-1878
Phone number: 310-221-6336
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