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1053755132
EDGARD REYNALDO VEGA
EUREKA, CA
NPI
1053755132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-04-19
Last Update Date
2013-04-19
Business Address
-- EDGARD REYNALDO VEGA
1100 CALIFORNIA ST
EUREKA, CA 95501-1621
Phone number: 707-443-8322
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Mailing Address
-- EDGARD REYNALDO VEGA
535 5TH ST APT B
ARCATA, CA 95521-6347
Phone number:
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