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1760019103
CHANEL LIGSAY BLANCO
SACRAMENTO, CA
NPI
1760019103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 707453)
Enumeration Date
2020-03-25
Last Update Date
2020-03-25
Business Address
CHANEL LIGSAY BLANCO LVN
2100 CAPITOL AVE
SACRAMENTO, CA 95816-5721
Phone number: 916-442-4985
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Mailing Address
CHANEL LIGSAY BLANCO LVN
1436 COLUMBUS RD
WEST SACRAMENTO, CA 95691-4918
Phone number: 916-402-0681
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