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1043738370
SAM MAVIS
PACOIMA, CA
NPI
1043738370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-09-07
Last Update Date
2022-07-21
Business Address
SAM MAVIS
12450 VAN NUYS BLVD
PACOIMA, CA 91331-1391
Phone number: 818-896-1161
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Mailing Address
SAM MAVIS
12450 VAN NUYS BLVD
PACOIMA, CA 91331-1391
Phone number: 818-896-1161
Copy
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