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Individual

MRS. EVELYN MAE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
2275 E COOLEY DR, COLTON, CA 92324-6324
(909) 370-1777
(909) 370-1776
Mailing address
2275 E COOLEY DR, COLTON, CA 92324-6324
(909) 370-1777
(909) 370-1776

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN190048
CA

Other

Enumeration date
09/25/2014
Last updated
09/25/2014
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