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1396985495
MICKEY RJ MARVELLE
SACRAMENTO, CA
NPI
1396985495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2009-03-02
Last Update Date
2009-03-02
Business Address
Mr. MICKEY RJ MARVELLE CASi
1550 JULIESSE AVE
SACRAMENTO, CA 95815-1803
Phone number: 916-609-4815
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Mailing Address
Mr. MICKEY RJ MARVELLE CASi
1550 JULIESSE AVE
SACRAMENTO, CA 95815-1803
Phone number: 916-609-4815
Copy
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