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1376117598
MICHAEL ANTHONY MANZANO
SAN DIEGO, CA
NPI
1376117598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
MICHAEL ANTHONY MANZANO
3665 KEARNY VILLA RD STE 101
SAN DIEGO, CA 92123-1954
Phone number: 949-874-2757
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Mailing Address
MICHAEL ANTHONY MANZANO
3754 1ST AVE APT C
SAN DIEGO, CA 92103-4089
Phone number: 949-874-2757
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