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1508792409
LARISSA LEE HALSELL
SANTA MARIA, CA
NPI
1508792409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2026-06-19
Last Update Date
2026-06-19
Business Address
LARISSA LEE HALSELL
4522 EDENBURY DR
SANTA MARIA, CA 93455-4125
Phone number: 805-266-0074
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Mailing Address
LARISSA LEE HALSELL
4522 EDENBURY DR
SANTA MARIA, CA 93455-4125
Phone number:
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