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Individual
RONALD D FILLMORE
Active
Individual
RONALD D FILLMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
305990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305990
CRNFA LIC NUMBER
CA
Enumeration date
06/06/2007
Last updated
07/08/2007
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