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1861074106
DENELL RUCKER
LOS ANGELES, CA
NPI
1861074106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA LVN714851)
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
DENELL RUCKER
3200 MOTOR AVE
LOS ANGELES, CA 90034-3740
Phone number: 310-836-1223
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Mailing Address
DENELL RUCKER
3200 MOTOR AVE
LOS ANGELES, CA 90034-3740
Phone number: 310-836-1223
Copy
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