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1407694003
SERGIO DANIEL LARA
SAN FRANCISCO, CA
NPI
1407694003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
SERGIO DANIEL LARA
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828
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Mailing Address
SERGIO DANIEL LARA
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828
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