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1164264230
VAN ALLEN BLACK
TEMECULA, CA
NPI
1164264230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
VAN ALLEN BLACK
40925 COUNTY CENTER DR
TEMECULA, CA 92591-6054
Phone number: 951-600-6300
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Mailing Address
VAN ALLEN BLACK
40925 COUNTY CENTER DR
TEMECULA, CA 92591-6054
Phone number: 951-305-2944
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