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1003198441
CHISANA WHITE
EUREKA, CA
NPI
1003198441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA 1558314161)
Enumeration Date
2011-09-12
Last Update Date
2011-09-12
Business Address
-- CHISANA WHITE
3960 WALNUT DR
EUREKA, CA 95503-8938
Phone number: 707-268-8722
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Mailing Address
-- CHISANA WHITE
3960 WALNUT DR
EUREKA, CA 95503-8938
Phone number:
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