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1558925792
DALE KENNETH HUDAK
MADERA, CA
NPI
1558925792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
DALE KENNETH HUDAK
117 N R ST # 103
MADERA, CA 93637-4465
Phone number: 559-664-9021
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Mailing Address
DALE KENNETH HUDAK
117 N R ST # 103
MADERA, CA 93637-4465
Phone number: 559-664-9021
Copy
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