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1164916524
MARK CHRISTIAN LAPID DIZON
FAIRFIELD, CA
NPI
1164916524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 691523)
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
MARK CHRISTIAN LAPID DIZON
2101 COURAGE DR
FAIRFIELD, CA 94533
Phone number: 707-428-1131
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Mailing Address
MARK CHRISTIAN LAPID DIZON
337 NORTHAMPTON DR
AMERICAN CANYON, CA 94503-4143
Phone number: 415-866-8580
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