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1285285114
MARTHA MARLENE VERGARA
LANCASTER, CA
NPI
1285285114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA NA)
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
MARTHA MARLENE VERGARA
506 W JACKMAN ST
LANCASTER, CA 93534-2531
Phone number: 661-726-2850
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Mailing Address
MARTHA MARLENE VERGARA
44937 CAMOLIN AVE
LANCASTER, CA 93534-2019
Phone number: 661-839-8258
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