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1326500778
MIYA LACHELLE PROSSER
SACRAMENTO, CA
NPI
1326500778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 701308)
Enumeration Date
2019-04-04
Last Update Date
2019-04-05
Business Address
Miss MIYA LACHELLE PROSSER
7225 E SOUTHGATE DR
SACRAMENTO, CA 95823-2652
Phone number: 916-394-1000
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Mailing Address
Miss MIYA LACHELLE PROSSER
4500 TRUXEL RD APT 315
SACRAMENTO, CA 95834-3732
Phone number:
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