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1013135839
ANDY PHETSEDA
VISALIA, CA
NPI
1013135839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-04-24
Last Update Date
2013-12-18
Business Address
-- ANDY PHETSEDA CASE MANAGER
520 E TULARE AVE
VISALIA, CA 93292-3629
Phone number: 559-623-0900
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Mailing Address
-- ANDY PHETSEDA CASE MANAGER
5957 S MOONEY BLVD
VISALIA, CA 93277-9394
Phone number: 559-737-4669
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