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1467015958
SUSANA VICTORIA FREMAULT
SANTA ROSA, CA
NPI
1467015958
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Other Name
SUSANA VICTORIA AVALOS QUIANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-04-19
Last Update Date
2019-05-09
Business Address
SUSANA VICTORIA FREMAULT
1360 N DUTTON AVE STE 100
SANTA ROSA, CA 95401-4668
Phone number: 707-569-0877
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Mailing Address
SUSANA VICTORIA FREMAULT
1360 N DUTTON AVE STE 100
SANTA ROSA, CA 95401-4668
Phone number: 707-569-0877
Copy
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