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1750638326
AMBER LYNN PENLAND
FAIRFIELD, CA
NPI
1750638326
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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
2012-08-13
Last Update Date
2012-08-13
Business Address
Miss AMBER LYNN PENLAND
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-784-2059
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Mailing Address
Miss AMBER LYNN PENLAND
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-784-2059
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