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1699298323
WYATT PFORSICH
CHICO, CA
NPI
1699298323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-07-25
Last Update Date
2022-07-21
Business Address
WYATT PFORSICH
4038 AUGUSTA LN
CHICO, CA 95973
Phone number: 530-345-3706
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Mailing Address
WYATT PFORSICH
4038 AUGUSTA LN
CHICO, CA 95973-8504
Phone number: 530-345-3706
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