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1740796358
CARLENE WILLIS
BANNING, CA
NPI
1740796358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95008027)
Enumeration Date
2017-12-19
Last Update Date
2017-12-19
Business Address
CARLENE WILLIS FNP-C
264 N HIGHLAND SPRINGS AVE STE 4
BANNING, CA 92220-3082
Phone number: 951-769-0079
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Mailing Address
CARLENE WILLIS FNP-C
264 N HIGHLAND SPRINGS AVE STE 4
BANNING, CA 92220-3082
Phone number:
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