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1982935763
ROSS ELLIS NISLY
SAN BERNARDINO, CA
NPI
1982935763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 550198)
Enumeration Date
2010-01-19
Last Update Date
2010-01-19
Business Address
-- ROSS ELLIS NISLY
2080 S E ST #100
SAN BERNARDINO, CA 92408-2706
Phone number: 909-388-9191
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Mailing Address
-- ROSS ELLIS NISLY
34569 NEWELL ST
YUCAIPA, CA 92399-6864
Phone number: 909-268-6900
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