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1164206058
ANGELICA MICHELLE LARA
SAN DIEGO, CA
NPI
1164206058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN735429)
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
ANGELICA MICHELLE LARA LVN
2865 LOGAN AVE
SAN DIEGO, CA 92113-2411
Phone number: 619-232-4357
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Mailing Address
ANGELICA MICHELLE LARA LVN
2865 LOGAN AVE
SAN DIEGO, CA 92113-2411
Phone number: 619-232-4357
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