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1699357046
ALDAR FRAGOSO
UKIAH, CA
NPI
1699357046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
ALDAR FRAGOSO
491 FORD ST
UKIAH, CA 95482-4017
Phone number: 707-467-2010
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Mailing Address
ALDAR FRAGOSO
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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