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1992589048
SARELY JAZMIN LICONA
SANTA BARBARA, CA
NPI
1992589048
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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
2023-08-21
Last Update Date
2023-08-21
Business Address
SARELY JAZMIN LICONA
1236 CHAPALA ST
SANTA BARBARA, CA 93101-3116
Phone number: 805-965-2376
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Mailing Address
SARELY JAZMIN LICONA
1236 CHAPALA ST
SANTA BARBARA, CA 93101-3116
Phone number:
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