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1215774443
CASSANDRA FONSECA VIVANCO
GILROY, CA
NPI
1215774443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
CASSANDRA FONSECA VIVANCO
290 IOOF AVE
GILROY, CA 95020-5204
Phone number: 408-846-2492
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Mailing Address
CASSANDRA FONSECA VIVANCO
290 IOOF AVE
GILROY, CA 95020-5204
Phone number: 408-846-2492
Copy
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