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1841837945
BRYAN LEONARDO FIALLOS
EUREKA, CA
NPI
1841837945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-12-08
Last Update Date
2019-12-08
Business Address
BRYAN LEONARDO FIALLOS
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
BRYAN LEONARDO FIALLOS
615 W WABASH AVE APT B
EUREKA, CA 95501-2893
Phone number: 323-243-3253
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