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1598447542
IFEANYI EZEANI
ROSEVILLE, CA
NPI
1598447542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2023-08-01
Last Update Date
2023-08-23
Business Address
IFEANYI EZEANI
1085 SANDRINGHAM WAY
ROSEVILLE, CA 95661-5321
Phone number: 530-888-5000
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Mailing Address
IFEANYI EZEANI
5410 WHITE LOTUS WAY
ELK GROVE, CA 95757-4354
Phone number: 916-870-9676
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