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1316162373
MAVIS STOVALL
SACRAMENTO, CA
NPI
1316162373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN53776)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- MAVIS STOVALL LVN
7225 E SOUTHGATE DR
SACRAMENTO, CA 95823-2620
Phone number: 916-394-1000
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Mailing Address
-- MAVIS STOVALL LVN
7225 E SOUTHGATE DR
SACRAMENTO, CA 95823-2620
Phone number: 916-394-1000
Copy
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