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1154813251
EDGAR PORFIRIO CANCHOLA
GILROY, CA
NPI
1154813251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
EDGAR PORFIRIO CANCHOLA
9015 MURRAY AVE STE 100
GILROY, CA 95020-3617
Phone number: 408-665-4908
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Mailing Address
EDGAR PORFIRIO CANCHOLA
9015 MURRAY AVE STE 100
GILROY, CA 95020-3617
Phone number: 408-665-4908
Copy
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