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1487210605
LYNNSEY LA RAE HOWARD COLOSSIO
MODESTO, CA
NPI
1487210605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
374700000X Technician
Enumeration Date
2019-05-13
Last Update Date
2023-09-12
Business Address
Ms. LYNNSEY LA RAE HOWARD COLOSSIO
801 11TH ST
MODESTO, CA 95354-2348
Phone number: 209-380-9580
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Mailing Address
Ms. LYNNSEY LA RAE HOWARD COLOSSIO
500 N 9TH ST
MODESTO, CA 95350-5814
Phone number: 209-558-4420
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