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1366150252
JANISSA DENEI JARA
BAKERSFIELD, CA
NPI
1366150252
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Former Name
JANISSA DENEI BANUELOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-11-09
Last Update Date
2023-10-05
Business Address
JANISSA DENEI JARA
3105 WILSON RD
BAKERSFIELD, CA 93304-5319
Phone number: 661-397-8775
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Mailing Address
JANISSA DENEI JARA
3105 WILSON RD
BAKERSFIELD, CA 93304-5319
Phone number: 661-397-8775
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