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1912596370
DIANA SELF
SACRAMENTO, CA
NPI
1912596370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156F00000X Technician/Technologist
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
DIANA SELF
2035 HURLEY WAY STE 290
SACRAMENTO, CA 95825-3221
Phone number: 916-713-3623
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Mailing Address
DIANA SELF
2035 HURLEY WAY STE 290
SACRAMENTO, CA 95825-3221
Phone number: 916-713-3623
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