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1235682808
DAKOTA BLUE BATES
ONTARIO, CA
NPI
1235682808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-07-29
Last Update Date
2016-07-29
Business Address
-- DAKOTA BLUE BATES MSW INTERN
1556 S SULTANA AVE
ONTARIO, CA 91761-4238
Phone number: 909-418-6923
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Mailing Address
-- DAKOTA BLUE BATES MSW INTERN
16575 MALLORY DR
FONTANA, CA 92335-6610
Phone number: 909-559-6895
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