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1366800401
KALISO MWANZA
LANCASTER, CA
NPI
1366800401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: CA E1705948)
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
Mr. KALISO MWANZA
339 E LANCASTER BLVD
LANCASTER, CA 93535-3031
Phone number: 661-434-7904
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Mailing Address
Mr. KALISO MWANZA
339 E LANCASTER BLVD
LANCASTER, CA 93535-3031
Phone number: 661-434-7904
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