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1932960473
KELLY VANESSA CORDOVA GOMEZ
FAIRFIELD, CA
NPI
1932960473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 736829)
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
KELLY VANESSA CORDOVA GOMEZ
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
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Mailing Address
KELLY VANESSA CORDOVA GOMEZ
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
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