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1114428109
JERRICA NADINE BENEDIX
VALLEJO, CA
NPI
1114428109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-02-24
Last Update Date
2023-08-14
Business Address
JERRICA NADINE BENEDIX
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591-7290
Phone number: 707-978-0347
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Mailing Address
JERRICA NADINE BENEDIX
160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591-7290
Phone number: 707-978-0347
Copy
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