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1588931752
MARVIN FUNIESTAS
ELK GROVE, CA
NPI
1588931752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 261947)
Enumeration Date
2011-11-16
Last Update Date
2011-11-16
Business Address
-- MARVIN FUNIESTAS LVN
9328 ELK GROVE BLVD STE 105-126
ELK GROVE, CA 95624-5063
Phone number: 916-718-7745
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Mailing Address
-- MARVIN FUNIESTAS LVN
9328 ELK GROVE BLVD STE 105-126
ELK GROVE, CA 95624-5063
Phone number: 916-718-7745
Copy
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