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1821359001
NITSA MARGARET DIMITRAKOS
SAN RAFAEL, CA
NPI
1821359001
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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
2012-06-04
Last Update Date
2012-06-04
Business Address
-- NITSA MARGARET DIMITRAKOS
1330 LINCOLN AVE SUITE 201
SAN RAFAEL, CA 94901-2120
Phone number: 415-459-5999
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Mailing Address
-- NITSA MARGARET DIMITRAKOS
1839 CEDARWOOD LOOP
SAN RAMON, CA 94582-3053
Phone number: 925-482-7027
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