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1245078070
IDALI GERMON
LAKE VIEW TERRACE, CA
NPI
1245078070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-16
Last Update Date
2024-07-16
Business Address
IDALI GERMON
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 661-208-1094
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Mailing Address
IDALI GERMON
PO BOX 921711
SYLMAR, CA 91392-1711
Phone number:
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