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1144854183
EARL BANAAG
VALLEJO, CA
NPI
1144854183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-02-28
Last Update Date
2023-07-14
Business Address
EARL BANAAG
508 ALABAMA ST
VALLEJO, CA 94590-4446
Phone number: 707-515-7186
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Mailing Address
EARL BANAAG
508 ALABAMA ST
VALLEJO, CA 94590-4446
Phone number:
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