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1598263592
MAYRA JUDY BRISENO
LANCASTER, CA
NPI
1598263592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2018-01-25
Last Update Date
2023-08-09
Business Address
MAYRA JUDY BRISENO
1216 W AVENUE J STE 300
LANCASTER, CA 93534-2944
Phone number: 661-341-3495
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Mailing Address
MAYRA JUDY BRISENO
1216 W AVENUE J STE 300
LANCASTER, CA 93534-2944
Phone number: 661-341-3495
Copy
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