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1104606961
SAM DURAN
FRESNO, CA
NPI
1104606961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 8405)
Enumeration Date
2023-09-29
Last Update Date
2023-09-29
Business Address
SAM DURAN PhD Clinical Student
4946 E YALE AVE STE 103
FRESNO, CA 93727-1571
Phone number: 559-458-0210
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Mailing Address
SAM DURAN PhD Clinical Student
1550 W ASHLAN AVE APT 241
FRESNO, CA 93705-1918
Phone number: 559-558-7961
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