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1356119077
JOHNNICO ANDREW MAGANA
MODESTO, CA
NPI
1356119077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-12-12
Last Update Date
2024-09-23
Business Address
JOHNNICO ANDREW MAGANA
500 N 9TH ST STE C
MODESTO, CA 95350-5814
Phone number: 209-558-4420
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Mailing Address
JOHNNICO ANDREW MAGANA
500 N 9TH ST STE C
MODESTO, CA 95350-5814
Phone number: 209-558-4420
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