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1083747604
JUAN CARLOS TERAN
MODESTO, CA
NPI
1083747604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-13
Last Update Date
2018-08-28
Business Address
Mr. JUAN CARLOS TERAN
1620 CUMMINS DR
MODESTO, CA 95358
Phone number: 209-576-1750
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Mailing Address
Mr. JUAN CARLOS TERAN
1620 CUMMINS DR
MODESTO, CA 95358-6400
Phone number: 209-576-1750
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