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1588860399
JUANA JIMENEZ
FAIRFIELD, CA
NPI
1588860399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-27
Last Update Date
2010-11-08
Business Address
-- JUANA JIMENEZ
490 CHADBOURNE RD SUITE A
FAIRFIELD, CA 94534-9613
Phone number: 707-422-0464
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Mailing Address
-- JUANA JIMENEZ
PO BOX 304 SUITE A
FAIRFIELD, CA 94533-0030
Phone number: 707-422-0464
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