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1588064190
JUAN VILLA
MODESTO, CA
NPI
1588064190
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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
2014-09-02
Last Update Date
2014-09-02
Business Address
-- JUAN VILLA
707 14TH ST
MODESTO, CA 95354-2506
Phone number: 209-525-5080
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Mailing Address
-- JUAN VILLA
3416 CASSIE LN
CERES, CA 95307-9580
Phone number: 209-402-6586
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