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1053854042
MARQUETTAH FIELDS
FAIRFIELD, CA
NPI
1053854042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-11-23
Last Update Date
2016-11-23
Business Address
-- MARQUETTAH FIELDS
275 BECK AVE
FAIRFIELD, CA 94533-6804
Phone number: 707-784-1934
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Mailing Address
-- MARQUETTAH FIELDS
948 BRETON DR
FAIRFIELD, CA 94533-2012
Phone number: 707-784-1934
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