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Individual

MRS. SARA MARIE DENAULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
75685 DOLMAR CT, PALM DESERT, CA 92211-3305
(760) 567-6511
Mailing address
75685 DOLMAR CT, PALM DESERT, CA 92211-3305
(760) 567-6511

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN 194292
CA

Other

Enumeration date
03/31/2012
Last updated
03/31/2012
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