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1437839644
MARY DINETT LAVELLE
STOCKTON, CA
NPI
1437839644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-07-21
Last Update Date
2024-02-06
Business Address
MARY DINETT LAVELLE
2495 W MARCH LN
STOCKTON, CA 95207-8251
Phone number: 209-465-1080
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Mailing Address
MARY DINETT LAVELLE
877 MISSION RIDGE DR
MANTECA, CA 95337-8006
Phone number: 510-712-8780
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