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1891940888
LAUREN BACALL PETTIS
BERKELEY, CA
NPI
1891940888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2008-11-18
Last Update Date
2008-11-18
Business Address
-- LAUREN BACALL PETTIS
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704-3238
Phone number: 510-981-5290
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Mailing Address
-- LAUREN BACALL PETTIS
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704-3238
Phone number: 510-981-5290
Copy
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