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1649303140
TYMON D WADE
SACRAMENTO, CA
NPI
1649303140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- TYMON D WADE
7245 E SOUTHGATE DR
SACRAMENTO, CA 95823-2620
Phone number: 916-427-7141
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Mailing Address
-- TYMON D WADE
7245 E SOUTHGATE DR
SACRAMENTO, CA 95823-2620
Phone number: 916-427-7141
Copy
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