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1265097174
FABIAN CANCHOLA
EL CENTRO, CA
NPI
1265097174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-06
Last Update Date
2023-12-06
Business Address
FABIAN CANCHOLA
202 N 8TH ST
EL CENTRO, CA 92243-2302
Phone number: 442-265-1525
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Mailing Address
FABIAN CANCHOLA
202 N 8TH ST
EL CENTRO, CA 92243-2302
Phone number:
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