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1457863300
CLARENCE WILLIAM TEDROW
MARIPOSA, CA
NPI
1457863300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA C034610415)
Enumeration Date
2017-11-01
Last Update Date
2017-11-01
Business Address
CLARENCE WILLIAM TEDROW CADC-CAS
5362 LEMEE LN
MARIPOSA, CA 95338-9556
Phone number: 209-966-2000
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Mailing Address
CLARENCE WILLIAM TEDROW CADC-CAS
PO BOX 99
MARIPOSA, CA 95338-0099
Phone number: 209-966-2000
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