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1639648389
ANTONELL VIDA
SANTA CLARA, CA
NPI
1639648389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
227900000X Respiratory Therapist, Registered
(Licence: CA 22032)
Enumeration Date
2018-11-23
Last Update Date
2018-11-23
Business Address
ANTONELL VIDA
700 LAWRENCE EXPY
SANTA CLARA, CA 95051-5173
Phone number: 408-851-7020
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Mailing Address
ANTONELL VIDA
1592 BURRELL CT
SAN JOSE, CA 95126-1608
Phone number: 408-891-6262
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