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1780030965
CHARLEYNE KHAMASI-SOOMALAN
MERCED, CA
NPI
1780030965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95063658)
Enumeration Date
2016-05-06
Last Update Date
2016-05-06
Business Address
-- CHARLEYNE KHAMASI-SOOMALAN
300 E 15TH ST
MERCED, CA 95341-6217
Phone number: 209-381-7879
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Mailing Address
-- CHARLEYNE KHAMASI-SOOMALAN
PO BOX 2087
MERCED, CA 95344-0087
Phone number: 209-381-7879
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