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1477955433
LAURA THIBAULT
SAN DIEGO, CA
NPI
1477955433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: CA 14671)
Enumeration Date
2014-09-22
Last Update Date
2017-12-26
Business Address
LAURA THIBAULT
8933 ACTIVITY RD
SAN DIEGO, CA 92126-4427
Phone number: 858-653-6085
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Mailing Address
LAURA THIBAULT
8933 ACTIVITY RD
SAN DIEGO, CA 92126-4427
Phone number: 858-653-6085
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