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1942970264
MAIZIE LYNN WAKEFIELD
SAN DIEGO, CA
NPI
1942970264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-09-17
Last Update Date
2021-09-17
Business Address
MAIZIE LYNN WAKEFIELD
5187 COLLEGE AVE VILLA ALVARADO E233
SAN DIEGO, CA 92115
Phone number: 208-440-0546
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Mailing Address
MAIZIE LYNN WAKEFIELD
5187 COLLEGE AVE VILLA ALVARADO E233
SAN DIEGO, CA 92115
Phone number: 208-440-0546
Copy
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