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1376031880
MICHAEL ISAAC CORDOVA-WANG
CAMPBELL, CA
NPI
1376031880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-04-30
Last Update Date
2018-04-30
Business Address
MICHAEL ISAAC CORDOVA-WANG
251 LLEWELLYN AVE
CAMPBELL, CA 95008-1940
Phone number: 408-379-3790
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Mailing Address
MICHAEL ISAAC CORDOVA-WANG
3372 LA COSTA WAY
SAN JOSE, CA 95135-2363
Phone number: 408-608-8803
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