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1295916674
NICOLE MARIE DEMEDENKO
LONG BEACH, CA
NPI
1295916674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA n/a)
Enumeration Date
2007-11-14
Last Update Date
2007-11-14
Business Address
Miss NICOLE MARIE DEMEDENKO
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717
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Mailing Address
Miss NICOLE MARIE DEMEDENKO
10341 MAIKAI DR
HUNTINGTON BEACH, CA 92646-2528
Phone number: 714-925-6838
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