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1023577764
GARY LEE COLFAX
LONG BEACH, CA
NPI
1023577764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251B00000X Case Management
Enumeration Date
2019-03-12
Last Update Date
2022-05-02
Business Address
GARY LEE COLFAX
2390 PACIFIC AVE
LONG BEACH, CA 90806-3051
Phone number: 714-485-9778
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Mailing Address
GARY LEE COLFAX
2390 PACIFIC AVE
LONG BEACH, CA 90806-3051
Phone number: 714-485-9778
Copy
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