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1881433415
DESIREE FERNANDEZ CORPUZ
COLTON, CA
NPI
1881433415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 784713)
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
DESIREE FERNANDEZ CORPUZ
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1000
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Mailing Address
DESIREE FERNANDEZ CORPUZ
1051 PEBBLE BEACH DR
UPLAND, CA 91784-9137
Phone number: 909-434-4283
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