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1659012953
AMANDA IAVASILE
LOMA LINDA, CA
NPI
1659012953
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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
2022-04-02
Last Update Date
2022-04-02
Business Address
AMANDA IAVASILE DO
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4174
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Mailing Address
AMANDA IAVASILE DO
11234 ANDERSON ST STE C
LOMA LINDA, CA 92354-2804
Phone number:
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