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1194079400
VANNA IN
FRESNO, CA
NPI
1194079400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-11-08
Last Update Date
2012-11-08
Business Address
-- VANNA IN MA
3467 W SHAW AVE STE 101
FRESNO, CA 93711-3223
Phone number: 559-271-3096
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Mailing Address
-- VANNA IN MA
4974 E BUTLER AVE
FRESNO, CA 93727-5016
Phone number: 559-916-7642
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