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1144602848
FERNANDO LODEVICO
PASADENA, CA
NPI
1144602848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA R26951214)
Enumeration Date
2015-06-18
Last Update Date
2015-06-18
Business Address
Mr. FERNANDO LODEVICO
1230 N MARENGO AVE
PASADENA, CA 91103-2217
Phone number: 626-797-1124
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Mailing Address
Mr. FERNANDO LODEVICO
PO BOX 40375
PASADENA, CA 91114-7375
Phone number: 626-797-1124
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