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1144007485
FERNANDO VIVEROS
WATSONVILLE, CA
NPI
1144007485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-09-11
Last Update Date
2023-11-04
Business Address
MR. FERNANDO VIVEROS
321 E BEACH ST
WATSONVILLE, CA 95076-4752
Phone number: 831-226-3909
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Mailing Address
MR. FERNANDO VIVEROS
321 E BEACH ST
WATSONVILLE, CA 95076-4752
Phone number: 831-319-1328
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