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1801878533
PRUDENCE ELLEN SMITH
SAN DIEGO, CA
NPI
1801878533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA RN501591)
Enumeration Date
2005-11-17
Last Update Date
2007-07-08
Business Address
MS. PRUDENCE ELLEN SMITH RN
4290 POLK AVE
SAN DIEGO, CA 92105-1524
Phone number: 619-563-0507
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Mailing Address
MS. PRUDENCE ELLEN SMITH RN
4290 POLK AVE
SAN DIEGO, CA 92105-1524
Phone number: 619-563-0507
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