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1306468186
SPENCER CARLSON
SAN RAFAEL, CA
NPI
1306468186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-14
Last Update Date
2020-05-14
Business Address
SPENCER CARLSON
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901-2142
Phone number: 415-459-5999
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Mailing Address
SPENCER CARLSON
2430 BUSH ST
SAN FRANCISCO, CA 94115-3106
Phone number: 646-831-7140
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