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1053094904
ISMAEL SOW
FAIRFIELD, CA
NPI
1053094904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
ISMAEL SOW
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number: 707-423-5131
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Mailing Address
ISMAEL SOW
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number:
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