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1043952815
JESSICA DANIELLE AZEVEDO
TORRANCE, CA
NPI
1043952815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
JESSICA DANIELLE AZEVEDO
1000 W CARSON ST
TORRANCE, CA 90502-2004
Phone number: 424-306-5571
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Mailing Address
JESSICA DANIELLE AZEVEDO
1144 STERLING GATE DR
SAN JOSE, CA 95120-4246
Phone number: 408-483-0667
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