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1710404991
JANINE NICOLE CARPENTER
SAN RAFAEL, CA
NPI
1710404991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-08-28
Last Update Date
2017-08-28
Business Address
JANINE NICOLE CARPENTER
3230 KERNER BLVD STE 120
SAN RAFAEL, CA 94901-4840
Phone number: 415-473-4274
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Mailing Address
JANINE NICOLE CARPENTER
459 MCAULEY ST UNIT A
OAKLAND, CA 94609-1546
Phone number: 408-603-4456
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