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1417689464
LATEKA NANINE STANLEY
ROSEVILLE, CA
NPI
1417689464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-28
Last Update Date
2023-06-27
Business Address
LATEKA NANINE STANLEY
1620 SANTA CLARA DR
ROSEVILLE, CA 95661-3558
Phone number: 916-786-3750
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Mailing Address
LATEKA NANINE STANLEY
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661-3559
Phone number: 916-786-3750
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