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1265085344
JUAN M ANDAVERDE
FRESNO, CA
NPI
1265085344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-07-18
Last Update Date
2024-05-08
Business Address
JUAN M ANDAVERDE
4468 E KINGS CANYON RD
FRESNO, CA 93702-3605
Phone number: 559-203-5221
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Mailing Address
JUAN M ANDAVERDE
4468 E KINGS CANYON RD
FRESNO, CA 93702-3605
Phone number: 559-600-9500
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