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1578112728
MARY LETA ALLEN
SAN DIEGO, CA
NPI
1578112728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
Mrs. MARY LETA ALLEN
4465 MAPLE ST
SAN DIEGO, CA 92105-4762
Phone number: 619-957-1717
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Mailing Address
Mrs. MARY LETA ALLEN
4465 MAPLE ST
SAN DIEGO, CA 92105-4762
Phone number: 619-957-1717
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