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1316783707
JONATHAN ANTHONY LIZAMA
SACRAMENTO, CA
NPI
1316783707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-07-04
Last Update Date
2024-08-02
Business Address
JONATHAN ANTHONY LIZAMA
7304 AZIMUTH LN
SACRAMENTO, CA 95842-1649
Phone number: 916-477-4081
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Mailing Address
JONATHAN ANTHONY LIZAMA
7304 AZIMUTH LN
SACRAMENTO, CA 95842-1649
Phone number: 916-477-4081
Copy
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