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1669208559
CHARLES CLIFTON VANCILL
BAKERSFIELD, CA
NPI
1669208559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-09-09
Last Update Date
2024-10-11
Business Address
CHARLES CLIFTON VANCILL
5121 STOCKDALE HWY STE 212
BAKERSFIELD, CA 93309-2664
Phone number: 661-577-8999
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Mailing Address
CHARLES CLIFTON VANCILL
5121 STOCKDALE HWY STE 212
BAKERSFIELD, CA 93309-2664
Phone number: 661-577-8999
Copy
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