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FLORA OSASOGIE AMADASUN LVN

>> Licensed Vocational Nurse >> Nursing Service Providers

Registrant NPI Number: 1821756578

Individual Registrant:
 FLORA OSASOGIE AMADASUN LVN
Gender: F
Sole Proprietor

Location and contact information for practice:
7841 BONNY DOWNS WAY  ELK GROVE, CA 95758-6572 US
Tel: 916-667-6511  Fax: --

Contact information for business:
7841 BONNY DOWNS WAY  ELK GROVE, CA 95758-6572 US
Tel: 916-667-6511  Fax: --

Registration Information:
NPI: 1821756578
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164X00000XNursing Service Providers
Licensed Vocational Nurse
CA246484

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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