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1427378918
JAIME FUENTES
MODESTO, CA
NPI
1427378918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-06-07
Last Update Date
2010-06-07
Business Address
-- JAIME FUENTES
1700 MCHENRY VILLAGE WAY SUITE 14
MODESTO, CA 95350-4308
Phone number: 209-526-1440
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Mailing Address
-- JAIME FUENTES
1700 MCHENRY VILLAGE WAY SUITE 14
MODESTO, CA 95350-4308
Phone number: 209-526-1440
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