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1063555670
JERRELL FOOS
SACRAMENTO, CA
NPI
1063555670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
-- JERRELL FOOS MHAI
2830 STOCKTON BLVD
SACRAMENTO, CA 95817-2301
Phone number: 916-736-6727
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Mailing Address
-- JERRELL FOOS MHAI
2830 STOCKTON BLVD
SACRAMENTO, CA 95817-2301
Phone number:
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