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1336917921
GENESIS COLE
GRASS VALLEY, CA
NPI
1336917921
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Former Name
GENESIS DOMINGUEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
GENESIS COLE MS
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number: 530-273-2244
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Mailing Address
GENESIS COLE MS
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number: 530-273-2244
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