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1548999345
SHIRLEY JEAN DISMUKE
MERCED, CA
NPI
1548999345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-07
Last Update Date
2022-11-28
Business Address
SHIRLEY JEAN DISMUKE
480 E 13TH ST
MERCED, CA 95341-6214
Phone number: 209-381-6800
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Mailing Address
SHIRLEY JEAN DISMUKE
480 E 13TH ST
MERCED, CA 95341-6214
Phone number: 209-381-6800
Copy
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