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1780459057
DAISY DORALI CORPUS LOPEZ
FRESNO, CA
NPI
1780459057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 733649)
Enumeration Date
2023-11-16
Last Update Date
2023-11-30
Business Address
DAISY DORALI CORPUS LOPEZ
4441 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number:
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Mailing Address
DAISY DORALI CORPUS LOPEZ
12466 AVENUE 415
OROSI, CA 93647-2116
Phone number: 559-419-3612
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