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1720802366
ALEXANDER AUGUSTO CASAVILCA
SYLMAR, CA
NPI
1720802366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
ALEXANDER AUGUSTO CASAVILCA
14119 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 818-290-5307
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Mailing Address
ALEXANDER AUGUSTO CASAVILCA
14119 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 818-290-5307
Copy
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