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1578349858
NOLAN AVERY BARNES
SAN RAFAEL, CA
NPI
1578349858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-04
Last Update Date
2023-09-04
Business Address
NOLAN AVERY BARNES
50 ACACIA AVE
SAN RAFAEL, CA 94901-2230
Phone number: 415-457-4440
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Mailing Address
NOLAN AVERY BARNES
PO BOX 1064
WILLOWS, CA 95988-1064
Phone number:
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