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1912688227
ALFONSO LAVIN
SAN RAFAEL, CA
NPI
1912688227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-07-28
Last Update Date
2023-07-28
Business Address
ALFONSO LAVIN
920 GRAND AVE
SAN RAFAEL, CA 94901-3506
Phone number: 415-861-0828
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Mailing Address
ALFONSO LAVIN
920 GRAND AVE
SAN RAFAEL, CA 94901-3506
Phone number: 415-861-0828
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