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1467028431
OMAR GUSTAVO VILLA
BAKERSFIELD, CA
NPI
1467028431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
Mr. OMAR GUSTAVO VILLA
2005 RIDGE RD
BAKERSFIELD, CA 93305-4123
Phone number: 661-868-4100
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Mailing Address
Mr. OMAR GUSTAVO VILLA
2005 RIDGE RD
BAKERSFIELD, CA 93305-4123
Phone number: 661-868-4100
Copy
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