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1578918744
DANIEL AYALA-ORTIZ
SANTA ROSA, CA
NPI
1578918744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-04-25
Last Update Date
2021-12-20
Business Address
DANIEL AYALA-ORTIZ
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-391-8779
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Mailing Address
DANIEL AYALA-ORTIZ
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-391-8779
Copy
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