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1366725103
VENICE LACHICA TANA
SAN FRANCISCO, CA
NPI
1366725103
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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
2011-09-27
Last Update Date
2011-09-27
Business Address
-- VENICE LACHICA TANA
245 11TH ST
SAN FRANCISCO, CA 94103-3732
Phone number: 415-355-0311
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Mailing Address
-- VENICE LACHICA TANA
1110 NATALIE LN
WATSONVILLE, CA 95076-6119
Phone number:
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