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1700025855
EDMUND MENDOZA
FRESNO, CA
NPI
1700025855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2009-02-12
Last Update Date
2009-07-30
Business Address
-- EDMUND MENDOZA
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-6271
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Mailing Address
-- EDMUND MENDOZA
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-6271
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