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1700414745
SPENSER STEPHEN SOUZA
SAN FRANCISCO, CA
NPI
1700414745
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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
2020-03-27
Last Update Date
2020-03-27
Business Address
SPENSER STEPHEN SOUZA MS
533 PARNASSUS AVE
SAN FRANCISCO, CA 94143-2208
Phone number: 415-476-4952
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Mailing Address
SPENSER STEPHEN SOUZA MS
30630 YOSEMITE DR
CASTAIC, CA 91384-3737
Phone number: 661-609-7498
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