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1144466459
EDWIN JESUS HUACO
HAYWARD, CA
NPI
1144466459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-12-17
Last Update Date
2008-12-17
Business Address
-- EDWIN JESUS HUACO
26081 MOCINE AVE
HAYWARD, CA 94544-2923
Phone number: 510-881-5921
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Mailing Address
-- EDWIN JESUS HUACO
26081 MOCINE AVENUE
HAYWARD, CA 94544
Phone number: 510-881-5921
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