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1700037462
CAROL JEAN FUNCANNON
UKIAH, CA
NPI
1700037462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-09-30
Last Update Date
2008-09-30
Business Address
Mrs. CAROL JEAN FUNCANNON
301 S STATE ST
UKIAH, CA 95482-4906
Phone number: 707-468-9347
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Mailing Address
Mrs. CAROL JEAN FUNCANNON
301 S STATE ST
UKIAH, CA 95482-4906
Phone number: 707-468-9347
Copy
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