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1194171645
DALE ANTHONY BETTENCOURT
SACRAMENTO, CA
NPI
1194171645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
132700000X Dietary Manager
(Licence: CA 1033537)
Enumeration Date
2016-05-13
Last Update Date
2021-12-17
Business Address
MR. DALE ANTHONY BETTENCOURT RD
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number: 916-968-5079
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Mailing Address
MR. DALE ANTHONY BETTENCOURT RD
6600 BRUCEVILLE RD
SACRAMENTO, CA 95823-4671
Phone number:
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