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MRS. DELORIS TARA KEETON

School >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1265914121

Individual Registrant:
MRS. DELORIS TARA KEETON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
11115 C STREET  ARMONA, CA 93202 US
Tel: 559-583-5000  Fax: --

Contact information for business:
PO BOX 368  ARMONA, CA 93202-0368 US
Tel: 559-583-5000  Fax: --

Registration Information:
NPI: 1265914121
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WS0200XNursing Service Providers
Registered Nurse
School
CA761358

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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