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1023672920
LUSHAW OLIVER
SACRAMENTO, CA
NPI
1023672920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-04-25
Last Update Date
2022-09-12
Business Address
Mr. LUSHAW OLIVER
650 HOWE AVE STE 400-B
SACRAMENTO, CA 95825-4731
Phone number: 916-993-4131
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Mailing Address
Mr. LUSHAW OLIVER
4540 HARLIN DR
SACRAMENTO, CA 95826-9716
Phone number: 916-364-7800
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