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1053013912
KEONNIE PARRILLA
SAN FRANCISCO, CA
NPI
1053013912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
KEONNIE PARRILLA
1001 POTRERO AVE BLDG 80-83
SAN FRANCISCO, CA 94110-3518
Phone number: 628-206-5252
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Mailing Address
KEONNIE PARRILLA
6401 MAPLE AVE APT 2102
DALLAS, TX 75235-5535
Phone number:
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