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1093281487
DONNIE RIVAS
SAN DIEGO, CA
NPI
1093281487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
DONNIE RIVAS
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
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Mailing Address
DONNIE RIVAS
637 RAYMOND ST
EL CAJON, CA 92020-6435
Phone number: 619-971-7371
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