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1073053716
CHARLENNE C MEDINA
LONG BEACH, CA
NPI
1073053716
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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
2017-02-28
Last Update Date
2017-02-28
Business Address
-- CHARLENNE C MEDINA
1431 OBISPO AVE APT 9
LONG BEACH, CA 90804-2504
Phone number: 408-713-8199
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Mailing Address
-- CHARLENNE C MEDINA
1431 OBISPO AVE APT 9
LONG BEACH, CA 90804-2504
Phone number: 408-713-8199
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