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1831820992
KIANNA YADIRA VASAVILBASO
PHOENIX, AZ
NPI
1831820992
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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
2022-06-20
Last Update Date
2022-06-20
Business Address
KIANNA YADIRA VASAVILBASO
435 N 5TH ST
PHOENIX, AZ 85004-2157
Phone number: 602-827-2834
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Mailing Address
KIANNA YADIRA VASAVILBASO
397 VIA ALOE VERA
RIO RICO, AZ 85648-2961
Phone number: 520-313-5674
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