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1164611554
SANTIAGO ESQUIBEL SIMENTAL
UKIAH, CA
NPI
1164611554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-10-22
Last Update Date
2007-10-22
Business Address
-- SANTIAGO ESQUIBEL SIMENTAL
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2628
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Mailing Address
-- SANTIAGO ESQUIBEL SIMENTAL
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number:
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