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1174135958
BRYAN DE LA FUENTE
LANCASTER, CA
NPI
1174135958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
Mr. BRYAN DE LA FUENTE
44423 HANSTEAD AVE
LANCASTER, CA 93535-3224
Phone number: 310-791-3064
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Mailing Address
Mr. BRYAN DE LA FUENTE
44423 HANSTEAD AVE
LANCASTER, CA 93535-3224
Phone number: 310-791-3064
Copy
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