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1386016228
ALI MAKANGU
SYLMAR, CA
NPI
1386016228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: CA 00846392)
Enumeration Date
2015-10-29
Last Update Date
2015-10-29
Business Address
ALI MAKANGU
14659 OLIVE VIEW DR
SYLMAR, CA 91342-1652
Phone number: 818-485-0868
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Mailing Address
ALI MAKANGU
14659 OLIVE VIEW DR
SYLMAR, CA 91342-1652
Phone number: 818-485-0868
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