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1336573104
MELODIE ANNE CHRONISTER
ONTARIO, CA
NPI
1336573104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA D8139785)
Enumeration Date
2013-08-28
Last Update Date
2013-09-10
Business Address
-- MELODIE ANNE CHRONISTER BASW
1556 S SULTANA AVE
ONTARIO, CA 91761-4238
Phone number: 909-418-6923
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Mailing Address
-- MELODIE ANNE CHRONISTER BASW
1171 N 2ND ST
COLTON, CA 92324-1706
Phone number: 951-533-9480
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