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1235355306
MYRIAM DANIELA LONGBALLA
RENO, NV
NPI
1235355306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other Surgical Technologist
(Licence: CO 064336)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
MYRIAM DANIELA LONGBALLA CST-FA
40 SUNRIDGE CT E
RENO, NV 89511-5743
Phone number: 775-849-1331
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Mailing Address
MYRIAM DANIELA LONGBALLA CST-FA
40 SUNRIDGE CT E
RENO, NV 89511-5743
Phone number: 775-849-1331
Copy
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