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1417123936
CORNELIUS STALLWORTH
STOCKTON, CA
NPI
1417123936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-05-05
Last Update Date
2024-01-11
Business Address
Mr. CORNELIUS STALLWORTH
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8686
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Mailing Address
Mr. CORNELIUS STALLWORTH
445 N SAN JOAQUIN ST
STOCKTON, CA 95202-2003
Phone number: 209-943-4035
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