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1184397796
ISIDRO CHAVEZ
UKIAH, CA
NPI
1184397796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-07-29
Last Update Date
2023-07-12
Business Address
ISIDRO CHAVEZ
1045 S STATE ST
UKIAH, CA 95482-5820
Phone number: 707-467-2010
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Mailing Address
ISIDRO CHAVEZ
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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