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1063539856
MICHAEL SHANE THOMPSON
MODESTO, CA
NPI
1063539856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-25
Last Update Date
2015-02-04
Business Address
-- MICHAEL SHANE THOMPSON RAS, CDAC
500 N 9TH ST
MODESTO, CA 95350-5814
Phone number: 209-541-2121
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Mailing Address
-- MICHAEL SHANE THOMPSON RAS, CDAC
12309 HORSESHOE RD
OAKDALE, CA 95361-9517
Phone number: 209-847-5480
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