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1497346001
ADILENNE LARA
MERCED, CA
NPI
1497346001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
ADILENNE LARA
2841 G ST
MERCED, CA 95340-2133
Phone number: 209-722-0202
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Mailing Address
ADILENNE LARA
2841 G ST
MERCED, CA 95340-2133
Phone number: 209-722-0202
Copy
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