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1093342842
TIMOTHY SANTOS CUYEGKENG
SACRAMENTO, CA
NPI
1093342842
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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
2020-03-23
Last Update Date
2020-03-23
Business Address
TIMOTHY SANTOS CUYEGKENG DO
4150 V ST # 1100
SACRAMENTO, CA 95817-1460
Phone number: 916-734-2737
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Mailing Address
TIMOTHY SANTOS CUYEGKENG DO
4150 V ST # 1100
SACRAMENTO, CA 95817-1460
Phone number: 916-734-2737
Copy
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