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Individual

ANGELICA LARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 F ST, TURLOCK, CA 95380
(209) 668-5972
(209) 656-5636
Mailing address
1052 HUNTINGDALE WAY, ATWATER, CA 95301
(209) 203-7276

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary

Other

Enumeration date
01/16/2020
Last updated
01/16/2020
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