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1750927125
KIMBERLEE SUE MATERNOWSKI
RIVERSIDE, CA
NPI
1750927125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA Vn180887)
Enumeration Date
2019-11-20
Last Update Date
2020-08-03
Business Address
KIMBERLEE SUE MATERNOWSKI
3625 14TH ST
RIVERSIDE, CA 92501-3815
Phone number: 951-358-3659
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Mailing Address
KIMBERLEE SUE MATERNOWSKI
3625 14TH ST
RIVERSIDE, CA 92501-3815
Phone number: 951-358-3659
Copy
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