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1316525090
TARQUINO CHACON CHAVARRIA
WATSONVILLE, CA
NPI
1316525090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA R1416490121)
Enumeration Date
2021-04-01
Last Update Date
2023-10-13
Business Address
TARQUINO CHACON CHAVARRIA
284 PENNSYLVANIA DR STE 2
WATSONVILLE, CA 95076-3768
Phone number: 831-319-4200
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Mailing Address
TARQUINO CHACON CHAVARRIA
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number:
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