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1366715336
MANYA BOHANNON
SAN DIMAS, CA
NPI
1366715336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-02-21
Last Update Date
2013-05-14
Business Address
-- MANYA BOHANNON
762 CYPRESS ST
SAN DIMAS, CA 91773-3505
Phone number: 909-599-1227
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Mailing Address
-- MANYA BOHANNON
762 CYPRESS ST
SAN DIMAS, CA 91773-3505
Phone number: 909-599-1227
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