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1790466001
ERICK GEOVANNY MILLAN BLANCO
LA PUENTE, CA
NPI
1790466001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-07-28
Last Update Date
2023-07-28
Business Address
ERICK GEOVANNY MILLAN BLANCO
160 S 7TH AVE
LA PUENTE, CA 91746-3211
Phone number: 626-961-8971
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Mailing Address
ERICK GEOVANNY MILLAN BLANCO
160 S 7TH AVE
LA PUENTE, CA 91746-3211
Phone number: 626-961-8971
Copy
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