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1316071988
MAELENA RICO SMITH
MODESTO, CA
NPI
1316071988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-15
Last Update Date
2013-08-12
Business Address
-- MAELENA RICO SMITH
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-558-3421
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Mailing Address
-- MAELENA RICO SMITH
800 SCENIC DRIVE
MODESTO, CA 95354-1807
Phone number: 209-558-3421
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