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1013452614
AUSTIN RIDENHOUR
MARIPOSA, CA
NPI
1013452614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-01-05
Last Update Date
2017-01-05
Business Address
-- AUSTIN RIDENHOUR
5362 LEMEE LN
MARIPOSA, CA 95338-9556
Phone number: 209-742-0818
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Mailing Address
-- AUSTIN RIDENHOUR
PO BOX 99
MARIPOSA, CA 95338-0099
Phone number: 209-742-0818
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