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1831681857
IVETTE SULEHIRA MEDINA
SAN DIMAS, CA
NPI
1831681857
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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
2018-06-05
Last Update Date
2018-06-05
Business Address
IVETTE SULEHIRA MEDINA
762 CYPRESS ST
SAN DIMAS, CA 91773-3505
Phone number: 909-599-1227
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Mailing Address
IVETTE SULEHIRA MEDINA
762 CYPRESS ST
SAN DIMAS, CA 91773-3505
Phone number: 909-599-1227
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