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1407307267
CHIVON COLE
VICTORVILLE, CA
NPI
1407307267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-10-17
Last Update Date
2016-10-17
Business Address
-- CHIVON COLE
15095 AMARGOSA RD STE208
VICTORVILLE, CA 92394-1879
Phone number: 760-245-4695
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Mailing Address
-- CHIVON COLE
15095 AMARGOSA RD STE208
VICTORVILLE, CA 92394-1879
Phone number: 760-245-4695
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