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1962956763
EVANGELINE FOGAM
SANTA CRUZ, CA
NPI
1962956763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 184229)
Enumeration Date
2016-08-09
Last Update Date
2016-08-09
Business Address
-- EVANGELINE FOGAM LVN
2250 SOQUEL AVE STE 100
SANTA CRUZ, CA 95062-1402
Phone number: 831-600-2800
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Mailing Address
-- EVANGELINE FOGAM LVN
2250 SOQUEL AVE STE 100
SANTA CRUZ, CA 95062-1402
Phone number: 831-600-2800
Copy
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