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1720777030
AGNES SERAFINA DAVIS
SAN BERNARDINO, CA
NPI
1720777030
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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
2023-05-03
Last Update Date
2023-05-04
Business Address
AGNES SERAFINA DAVIS
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404-4836
Phone number: 909-883-8711
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Mailing Address
AGNES SERAFINA DAVIS
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404-4836
Phone number:
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