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1417651951
IVIS CASILLAS
OAKLAND, CA
NPI
1417651951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
IVIS CASILLAS
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 510-437-4800
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Mailing Address
IVIS CASILLAS
1411 E 31ST ST
OAKLAND, CA 94602-1092
Phone number:
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