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1962641175
/PRINCE PELA
SACRAMENTO, CA
NPI
1962641175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA vn201981)
Enumeration Date
2009-02-11
Last Update Date
2009-02-11
Business Address
-- /PRINCE PELA
6630 RIVERSIDE BLVD
SACRAMENTO, CA 95831-1938
Phone number: 916-236-8876
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Mailing Address
-- /PRINCE PELA
6630 RIVERSIDE BLVD
SACRAMENTO, CA 95831-1938
Phone number:
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