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Individual

AILEEN CAGA CONCEMINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
800 MAGNOLIA AVE STE 101, CORONA, CA 92879-3123
(951) 817-8820
Mailing address
800 MAGNOLIA AVE STE 101, CORONA, CA 92879-3123
(951) 817-8820

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
627385
CA

Other

Enumeration date
01/28/2014
Last updated
11/20/2014
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