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1649845470
MIA SIMONE SHORT
SAN FRANCISCO, CA
NPI
1649845470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-24
Last Update Date
2021-07-08
Business Address
MIA SIMONE SHORT
1001 POTRERO AVE # 6B
SAN FRANCISCO, CA 94110-3518
Phone number: 415-206-5270
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Mailing Address
MIA SIMONE SHORT
3601 WALL AVE
RICHMOND, CA 94804-3247
Phone number:
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