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1952800351
LELIE VILLAGOMEZ
SAN LEANDRO, CA
NPI
1952800351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 690079)
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
LELIE VILLAGOMEZ
1098 MIDWAY AVE
SAN LEANDRO, CA 94577-1345
Phone number: 510-258-7812
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Mailing Address
LELIE VILLAGOMEZ
1098 MIDWAY AVE
SAN LEANDRO, CA 94577-1345
Phone number: 510-258-7812
Copy
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