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1275253320
MIKE IRA ISHAM
CHICO, CA
NPI
1275253320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
(Licence: CA C3244694)
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
MIKE IRA ISHAM
1550 SPRINGFIELD DR APT 60
CHICO, CA 95928-6334
Phone number: 530-624-1776
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Mailing Address
MIKE IRA ISHAM
1550 SPRINGFIELD DR APT 60
CHICO, CA 95928-6334
Phone number: 530-624-1776
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