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1891317061
IVAN AYEBALE
SOUTH SAN FRANCISCO, CA
NPI
1891317061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-05-11
Last Update Date
2020-05-11
Business Address
IVAN AYEBALE
170 S SPRUCE AVE STE 200
SOUTH SAN FRANCISCO, CA 94080-4557
Phone number: 714-858-0410
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Mailing Address
IVAN AYEBALE
170 S SPRUCE AVE STE 200
SOUTH SAN FRANCISCO, CA 94080-4557
Phone number:
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