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1407334311
ANNEMIEKE STALCUP
BIG BEAR LAKE, CA
NPI
1407334311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-08-02
Last Update Date
2018-10-05
Business Address
Mrs. ANNEMIEKE STALCUP
41945 BIG BEAR BLVD
BIG BEAR LAKE, CA 92315
Phone number: 909-866-5070
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Mailing Address
Mrs. ANNEMIEKE STALCUP
PO BOX 6515
BIG BEAR LAKE, CA 92315-6515
Phone number: 909-838-0548
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