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1245575141
ANTHONY LUIS CARRASCO
SAN JOSE, CA
NPI
1245575141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-12-03
Last Update Date
2012-12-03
Business Address
-- ANTHONY LUIS CARRASCO
2070 TREEWOOD LN
SAN JOSE, CA 95132-1243
Phone number: 408-780-6301
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Mailing Address
-- ANTHONY LUIS CARRASCO
2070 TREEWOOD LN
SAN JOSE, CA 95132-1243
Phone number: 408-780-6301
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