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1659069474
CHINA STARK
ONTARIO, CA
NPI
1659069474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-04-28
Last Update Date
2023-05-19
Business Address
CHINA STARK
2890 INLAND EMPIRE BLVD
ONTARIO, CA 91764-4649
Phone number: 909-233-7265
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Mailing Address
CHINA STARK
2890 INLAND EMPIRE BLVD
ONTARIO, CA 91764-4649
Phone number: 909-233-7265
Copy
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