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1306664982
JOHN DOUGLAS EVANS
FRESNO, CA
NPI
1306664982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2024-10-01
Last Update Date
2024-12-03
Business Address
JOHN DOUGLAS EVANS BS
2747 N REDDA RD
FRESNO, CA 93737-9619
Phone number: 559-375-1413
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Mailing Address
JOHN DOUGLAS EVANS BS
2747 N REDDA RD
FRESNO, CA 93737-9619
Phone number: 323-901-0572
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