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1144915687
ALONSO VENTURA PENA
SANTA MARIA, CA
NPI
1144915687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-04-10
Last Update Date
2023-08-08
Business Address
ALONSO VENTURA PENA
212 CARMEN LN
SANTA MARIA, CA 93458-7769
Phone number: 805-805-2127
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Mailing Address
ALONSO VENTURA PENA
212 CARMEN LN
SANTA MARIA, CA 93458-7769
Phone number:
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