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1215456413
CHANDRA OM-DEDONATIS
MODESTO, CA
NPI
1215456413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
CHANDRA OM-DEDONATIS
1620 CUMMINS DR
MODESTO, CA 95358-6400
Phone number: 209-622-1420
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Mailing Address
CHANDRA OM-DEDONATIS
1620 CUMMINS DR
MODESTO, CA 95358-6400
Phone number:
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