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1295468494
FREEBORN IDJADJA
ELK GROVE, CA
NPI
1295468494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-07-05
Last Update Date
2024-08-29
Business Address
Mr. FREEBORN IDJADJA
9130 NOLAN ST APT 281
ELK GROVE, CA 95758-7539
Phone number: 916-267-5091
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Mailing Address
Mr. FREEBORN IDJADJA
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-267-5091
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