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1245594902
ALEJANDRO DAVIDENKO
MERCED, CA
NPI
1245594902
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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
2012-06-27
Last Update Date
2014-02-28
Business Address
-- ALEJANDRO DAVIDENKO
1343 W MAIN ST A&B
MERCED, CA 95340-4438
Phone number: 209-725-1060
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Mailing Address
-- ALEJANDRO DAVIDENKO
621 14TH ST A&B
MODESTO, CA 95354-2504
Phone number: 209-529-8519
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