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1710258553
DIAMOND CHARLOTTE MOEBUS
EUREKA, CA
NPI
1710258553
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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
2012-01-25
Last Update Date
2012-01-25
Business Address
-- DIAMOND CHARLOTTE MOEBUS
2413 2ND ST
EUREKA, CA 95501-0811
Phone number: 707-269-9590
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Mailing Address
-- DIAMOND CHARLOTTE MOEBUS
PO BOX 3045
EUREKA, CA 95502-3045
Phone number:
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