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1588189575
JAMES OBALDO AZORES
CERES, CA
NPI
1588189575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95053081)
Enumeration Date
2017-08-10
Last Update Date
2018-06-04
Business Address
JAMES OBALDO AZORES
1904 RICHLAND AVE STE A
CERES, CA 95307
Phone number: 209-300-8800
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Mailing Address
JAMES OBALDO AZORES
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-300-8800
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