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1669201059
PRISCILLA MARIA LARA
UKIAH, CA
NPI
1669201059
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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
2024-08-01
Last Update Date
2024-08-01
Business Address
PRISCILLA MARIA LARA
776 S STATE ST STE 103
UKIAH, CA 95482-5833
Phone number: 707-463-4915
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Mailing Address
PRISCILLA MARIA LARA
776 S STATE ST STE 103
UKIAH, CA 95482-5833
Phone number: 707-463-4915
Copy
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