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1053596056
JESSICA RAE FADA
MOJAVE, CA
NPI
1053596056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-01-08
Last Update Date
2008-01-08
Business Address
Mrs. JESSICA RAE FADA other
15662 K ST
MOJAVE, CA 93501-1826
Phone number: 661-824-4118
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Mailing Address
Mrs. JESSICA RAE FADA other
15662 K ST
MOJAVE, CA 93501-1826
Phone number: 661-824-4118
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