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1497519532
LAVONDERICK LAVAR CAMPBELL
SAN DIEGO, CA
NPI
1497519532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-02-08
Last Update Date
2024-02-10
Business Address
Mr. LAVONDERICK LAVAR CAMPBELL
2865 LOGAN AVE
SAN DIEGO, CA 92113-2411
Phone number: 619-232-4357
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Mailing Address
Mr. LAVONDERICK LAVAR CAMPBELL
2865 LOGAN AVE
SAN DIEGO, CA 92113-2411
Phone number:
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