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1497392070
BRIAN KIRK WASS
MARIPOSA, CA
NPI
1497392070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-12-03
Last Update Date
2019-12-03
Business Address
BRIAN KIRK WASS
5362 LEMEE LN
MARIPOSA, CA 95338-9556
Phone number: 209-966-2000
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Mailing Address
BRIAN KIRK WASS
PO BOX 99
MARIPOSA, CA 95338-0099
Phone number: 209-742-0854
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