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1710679113
LEXI RAE MARTIN LAVELL
SACRAMENTO, CA
NPI
1710679113
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Former Name
LEXI RAE MARTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-23
Last Update Date
2025-03-26
Business Address
LEXI RAE MARTIN LAVELL
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-5974
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Mailing Address
LEXI RAE MARTIN LAVELL
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number:
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