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1053155861
RENYCE MICHELLE KATES (SSP)
RANCHO CUCAMONGA, CA
NPI
1053155861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
RENYCE MICHELLE KATES (SSP)
8350 ARCHIBALD AVE STE 110
RANCHO CUCAMONGA, CA 91730-3670
Phone number: 909-527-3463
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Mailing Address
RENYCE MICHELLE KATES (SSP)
8350 ARCHIBALD AVE STE 110
RANCHO CUCAMONGA, CA 91730-3670
Phone number: 909-527-3463
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