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1295147361
IRVIN SERVELLON
SAN LEANDRO, CA
NPI
1295147361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
Enumeration Date
2014-05-23
Last Update Date
2014-05-23
Business Address
-- IRVIN SERVELLON
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7831
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Mailing Address
-- IRVIN SERVELLON
2035 FAIRMONT DR
SAN LEANDRO, CA 94578-1088
Phone number: 510-346-7831
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