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1821470154
KALASHAI PORTER
STOCKTON, CA
NPI
1821470154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 107095)
Enumeration Date
2015-06-23
Last Update Date
2015-06-23
Business Address
KALASHAI PORTER
1639 BARCELONA AVE
STOCKTON, CA 95209-2505
Phone number: 209-603-9683
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Mailing Address
KALASHAI PORTER
1639 BARCELONA AVE
STOCKTON, CA 95209-2505
Phone number: 209-603-9683
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