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1568918290
SAMANTHA CRYSTAL AVILA
LEMOORE, CA
NPI
1568918290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- SAMANTHA CRYSTAL AVILA
1114 PARADISE DR.
LEMOORE, CA 93245
Phone number: 559-232-7918
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Mailing Address
-- SAMANTHA CRYSTAL AVILA
1114 PARADISE DR.
LEMOORE, CA 93245
Phone number:
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