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1760579312
DERALD R NORDECK
REDLANDS, CA
NPI
1760579312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WX0800X Registered Nurse, Orthopedic
(Licence: CA 350141)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
-- DERALD R NORDECK RNFA
1901 WEST LUGONIA AVENUE SUITE 120
REDLANDS, CA 92374
Phone number: 909-557-1600
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Mailing Address
-- DERALD R NORDECK RNFA
PO BOX 8520
REDLANDS, CA 92374
Phone number: 909-557-1600
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