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1629446372
ANGELICA DE LA FUENTE
SANTA MONICA, CA
NPI
1629446372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-09-11
Last Update Date
2015-09-11
Business Address
-- ANGELICA DE LA FUENTE M.S.
1339 20TH ST
SANTA MONICA, CA 90404-2033
Phone number: 310-829-8285
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Mailing Address
-- ANGELICA DE LA FUENTE M.S.
1339 20TH ST
SANTA MONICA, CA 90404-2033
Phone number:
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