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1578105698
LARVIN BLAKE MCCLAIN
SACRAMENTO, CA
NPI
1578105698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
LARVIN BLAKE MCCLAIN
7415 HENRIETTA DR
SACRAMENTO, CA 95822-5142
Phone number: 916-520-7399
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Mailing Address
LARVIN BLAKE MCCLAIN
7415 HENRIETTA DR
SACRAMENTO, CA 95822-5142
Phone number: 916-520-7399
Copy
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