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1023149192
LEO ETCHARTE TINE
BAKERSFIELD, CA
NPI
1023149192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
Mr. LEO ETCHARTE TINE
1400 S UNION AVE
BAKERSFIELD, CA 93307
Phone number: 661-397-8775
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Mailing Address
Mr. LEO ETCHARTE TINE
PO BOX 1559 ATTENTION ANN LEE CLINICS SIERRA VISTA
BAKERSFIELD, CA 93302-1559
Phone number: 661-635-3050
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