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1013666320
GUILLERMO FONCERRADA ORTEGA
SACRAMENTO, CA
NPI
1013666320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
Dr. GUILLERMO FONCERRADA ORTEGA M.M.S.
340 CADILLAC DR APT 35
SACRAMENTO, CA 95825-5444
Phone number: 409-789-4756
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Mailing Address
Dr. GUILLERMO FONCERRADA ORTEGA M.M.S.
340 CADILLAC DR APT 35
SACRAMENTO, CA 95825-5444
Phone number: 409-789-4756
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