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1417108341
ISHMAEL CHAVEZ
SANTA MARIA, CA
NPI
1417108341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-10-09
Last Update Date
2008-10-09
Business Address
-- ISHMAEL CHAVEZ
212 CARMEN LN
SANTA MARIA, CA 93458-7769
Phone number: 805-714-9585
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Mailing Address
-- ISHMAEL CHAVEZ
133 ROYAL LN
SANTA MARIA, CA 93454-4645
Phone number: 805-348-1850
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