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1083448062
MARIO DE LA VEGA
ALAMEDA, CA
NPI
1083448062
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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
2024-08-30
Last Update Date
2024-08-30
Business Address
MARIO DE LA VEGA
1005 ATLANTIC AVE
ALAMEDA, CA 94501-1148
Phone number: 510-318-6100
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Mailing Address
MARIO DE LA VEGA
1005 ATLANTIC AVE
ALAMEDA, CA 94501-1148
Phone number:
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