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1124575642
SHANTEL ALICIA STUTZMAN
MODESTO, CA
NPI
1124575642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2016-09-01
Last Update Date
2022-02-24
Business Address
SHANTEL ALICIA STUTZMAN
121 DOWNEY AVE
MODESTO, CA 95354-1208
Phone number: 925-433-1628
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Mailing Address
SHANTEL ALICIA STUTZMAN
121 DOWNEY AVE
MODESTO, CA 95354-1208
Phone number: 925-433-1628
Copy
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