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1427740588
CHEYANNE LARA
STOCKTON, CA
NPI
1427740588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2023-05-25
Last Update Date
2023-10-16
Business Address
CHEYANNE LARA
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-2393
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Mailing Address
CHEYANNE LARA
1350 BUCKINGHAM WAY APT 25
STOCKTON, CA 95207-4914
Phone number: 209-665-6658
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