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1114754280
VANESSA MARIE LARA
MODESTO, CA
NPI
1114754280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-09-13
Last Update Date
2024-09-18
Business Address
VANESSA MARIE LARA
2008 W BRIGGSMORE AVE
MODESTO, CA 95350-3763
Phone number: 209-526-1441
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Mailing Address
VANESSA MARIE LARA
2008 W BRIGGSMORE AVE
MODESTO, CA 95350-3763
Phone number: 209-526-1441
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