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1497122956
VON SEVILLA
MODESTO, CA
NPI
1497122956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN236725)
Enumeration Date
2015-08-31
Last Update Date
2015-08-31
Business Address
-- VON SEVILLA
2200 STANDIFORD AVE APT 296
MODESTO, CA 95350-6559
Phone number: 562-292-0576
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Mailing Address
-- VON SEVILLA
2200 STANDIFORD AVE APT 296
MODESTO, CA 95350-6559
Phone number: 562-292-0576
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