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1760261333
MARY GRACE ONG LACANDOLA
FAIRFIELD, CA
NPI
1760261333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95276092)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
MARY GRACE ONG LACANDOLA RN
5231 MAYRENE BATES LN
FAIRFIELD, CA 94533-1496
Phone number: 707-688-8699
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Mailing Address
MARY GRACE ONG LACANDOLA RN
5231 MAYRENE BATES LN
FAIRFIELD, CA 94533-1496
Phone number: 707-688-8699
Copy
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