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1518787084
ILEANA ANGELINA SOUZA PUENTE
FAIRFIELD, CA
NPI
1518787084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-10-10
Last Update Date
2024-10-10
Business Address
-- ILEANA ANGELINA SOUZA PUENTE
480 CHADBOURNE ROAD
FAIRFIELD, CA 94534
Phone number: 510-317-1444
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Mailing Address
-- ILEANA ANGELINA SOUZA PUENTE
480 CHADBOURNE ROAD
FAIRFIELD, CA 94534
Phone number: 510-317-1444
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