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1114059409
EIVOR YANA FRAGOSO
SYLMAR, CA
NPI
1114059409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-12
Last Update Date
2023-05-05
Business Address
Miss EIVOR YANA FRAGOSO
12510 VAN NUYS BLVD.
SYLMAR, CA 91331
Phone number: 818-899-2532
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Mailing Address
Miss EIVOR YANA FRAGOSO
12510 VAN NUYS BLVD.
SYLMAR, CA 91331
Phone number: 818-899-2532
Copy
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