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1942927272
JOSE EDGAR SANDOVAL BARBOSA
FAIRFIELD, CA
NPI
1942927272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
JOSE EDGAR SANDOVAL BARBOSA
2460 CLAY BANK RD
FAIRFIELD, CA 94533-1655
Phone number: 707-399-4400
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Mailing Address
JOSE EDGAR SANDOVAL BARBOSA
2460 CLAY BANK RD
FAIRFIELD, CA 94533-1655
Phone number:
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