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1336611953
SUSSANA ONTIVEROS
SAN FRANCISCO, CA
NPI
1336611953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-12-20
Last Update Date
2022-12-09
Business Address
SUSSANA ONTIVEROS
2717 MISSION ST
SAN FRANCISCO, CA 94112-9411
Phone number: 415-401-2756
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Mailing Address
SUSSANA ONTIVEROS
2717 MISSION ST
SAN FRANCISCO, CA 94112
Phone number: 415-401-2756
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