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1598431082
ANDRE SERITA
SAN RAFAEL, CA
NPI
1598431082
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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
2021-08-17
Last Update Date
2021-09-23
Business Address
ANDRE SERITA
3270 KERNER BLVD
SAN RAFAEL, CA 94901-4840
Phone number: 415-473-6828
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Mailing Address
ANDRE SERITA
1445 FRUITDALE AVE UNIT 107
SAN JOSE, CA 95128-3271
Phone number:
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