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Licensed Practical Nurse

NPI: 1629737580Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

182732(CA)

Contact & Hours

Address: 15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578
Phone: (510) 427-9479

Quick Facts

NPI: 1629737580
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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