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1629806070
IVAN TUNNELL
LODI, CA
NPI
1629806070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YS0200X Counselor, School
Enumeration Date
2024-07-25
Last Update Date
2024-07-25
Business Address
IVAN TUNNELL
3 S PACIFIC AVE
LODI, CA 95242-3020
Phone number: 209-331-7695
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Mailing Address
IVAN TUNNELL
1305 E VINE ST
LODI, CA 95240-3148
Phone number: 209-331-7000
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