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1851948046
DOREEN KELLIE CARRILLO
STOCKTON, CA
NPI
1851948046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95012375)
Enumeration Date
2019-08-22
Last Update Date
2021-06-11
Business Address
DOREEN KELLIE CARRILLO FNP
2800 W MARCH LN
STOCKTON, CA 95219-8218
Phone number: 209-670-8000
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Mailing Address
DOREEN KELLIE CARRILLO FNP
21270 E ASHTON LN
LINDEN, CA 95236-9580
Phone number: 209-373-5445
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