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1245093400
SAMUEL JOHN VAN HOOGMOED
FRESNO, CA
NPI
1245093400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-01-31
Last Update Date
2024-03-29
Business Address
SAMUEL JOHN VAN HOOGMOED
1396 W HERNDON AVE
FRESNO, CA 93711-7126
Phone number: 559-664-9141
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Mailing Address
SAMUEL JOHN VAN HOOGMOED
471 ROSEWOOD AVE
SANGER, CA 93657-4289
Phone number: 559-664-9141
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