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1295360220
MAKENA J OWEN
ELK GROVE, CA
NPI
1295360220
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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
2020-03-10
Last Update Date
2020-03-10
Business Address
MAKENA J OWEN
9700 W TARON DR
ELK GROVE, CA 95757-8145
Phone number: 949-244-9099
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Mailing Address
MAKENA J OWEN
9700 W TARON DR
ELK GROVE, CA 95757-8145
Phone number:
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