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1437650173
ANTHONY FAVALE
EUREKA, CA
NPI
1437650173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
ANTHONY FAVALE
3960 WALNUT DR
EUREKA, CA 95503-8938
Phone number: 707-268-8722
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Mailing Address
ANTHONY FAVALE
3960 WALNUT DR
EUREKA, CA 95503-8938
Phone number:
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