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1730923061
LARISSA ELISABETH BORING
SACRAMENTO, CA
NPI
1730923061
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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
2024-06-21
Last Update Date
2024-06-21
Business Address
LARISSA ELISABETH BORING
2570 48TH ST
SACRAMENTO, CA 95817-1541
Phone number: 916-380-8420
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Mailing Address
LARISSA ELISABETH BORING
8163 SHELDON RD APT 106
ELK GROVE, CA 95758-1289
Phone number: 916-380-8420
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