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1649879958
JAMES MICHAEL EDMONDSON
MODESTO, CA
NPI
1649879958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
JAMES MICHAEL EDMONDSON
1001 NEEDHAM ST
MODESTO, CA 95354-0730
Phone number: 209-569-0373
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Mailing Address
JAMES MICHAEL EDMONDSON
1712 CARVER RD APT 19
MODESTO, CA 95350-3800
Phone number:
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