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1417477365
FAITH INTERVALO VILLANUEVA
POMONA, CA
NPI
1417477365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
Ms. FAITH INTERVALO VILLANUEVA ATC
100 DIAMOND RANCH RD
POMONA, CA 91766-4723
Phone number: 909-397-4715
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Mailing Address
Ms. FAITH INTERVALO VILLANUEVA ATC
9017 SYCAMORE AVE UNIT 212
MONTCLAIR, CA 91763-5609
Phone number: 714-290-5749
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