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1114662053
CARLOS LARGAESPADA
FAIRFIELD, CA
NPI
1114662053
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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
2022-05-04
Last Update Date
2022-05-04
Business Address
Mr. CARLOS LARGAESPADA
1525 UNION AVE
FAIRFIELD, CA 94533-5049
Phone number: 707-435-1804
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Mailing Address
Mr. CARLOS LARGAESPADA
1525 UNION AVE
FAIRFIELD, CA 94533-5049
Phone number: 707-399-9190
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