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1427816933
JOANNA A ORTIZ PRADO
LAKEPORT, CA
NPI
1427816933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2024-03-08
Last Update Date
2024-03-08
Business Address
JOANNA A ORTIZ PRADO
1950 PARALLEL DR
LAKEPORT, CA 95453-9388
Phone number: 707-263-3949
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Mailing Address
JOANNA A ORTIZ PRADO
2730 SHADELANDS DR BLDG 10
WALNUT CREEK, CA 94598-2538
Phone number:
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