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1154165272
VENASIO FAASOLO VAIPULU
RANCHO CUCAMONGA, CA
NPI
1154165272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
VENASIO FAASOLO VAIPULU
10801 6TH ST
RANCHO CUCAMONGA, CA 91730-5977
Phone number: 951-283-6201
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Mailing Address
VENASIO FAASOLO VAIPULU
8269 VERBENA DR
RIVERSIDE, CA 92504-2441
Phone number: 951-283-6201
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