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1003448655
KASSANDRA MARIE BARACEROS
SAN DIEGO, CA
NPI
1003448655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95138709)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
KASSANDRA MARIE BARACEROS RN
928 BROADWAY
SAN DIEGO, CA 92101-5514
Phone number: 619-275-0822
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Mailing Address
KASSANDRA MARIE BARACEROS RN
928 BROADWAY
SAN DIEGO, CA 92101-5514
Phone number: 619-275-0822
Copy
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