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1477670651
REGINA C PERDOMO
MODESTO, CA
NPI
1477670651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Mrs. REGINA C PERDOMO
421 E MORRIS AVE
MODESTO, CA 95354-0437
Phone number: 209-558-7494
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Mailing Address
Mrs. REGINA C PERDOMO
325 W TUOLUMNE RD
TURLOCK, CA 95382-1626
Phone number: 209-668-2822
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