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1053967836
DENICE LEE FONCECA
SAN ANDREAS, CA
NPI
1053967836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-08-16
Last Update Date
2019-08-16
Business Address
DENICE LEE FONCECA
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-754-6535
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Mailing Address
DENICE LEE FONCECA
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number:
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