MiscSubjects

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-C
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Clinician

npi
1629316005
status
A
address
2536 LAGUNA VISTA DR, NOVATO, CA, 949451526
license
D7571234
taxonomy
Student in an Organized Health Care Education/Training Program
last updated
2013-01-20
license state
CA
taxonomy code
390200000X
sole proprietor
YES
enumeration date
2013-01-20
enumeration type
NPI-1
practice locations
0
npiregistry.cms.hhs.gov ↗

Recorded 2026-10-10

Connected objects

Student in an Organized Health Care Education/Training Program · has profession

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