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1710590708
LERISSA EVANS
SAN JOSE, CA
NPI
1710590708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA R1381360320)
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
LERISSA EVANS
2001 THE ALAMEDA
SAN JOSE, CA 95126-1136
Phone number: 408-261-7777
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Mailing Address
LERISSA EVANS
4879 CAMPBELL AVE APT 3
SAN JOSE, CA 95130-1604
Phone number: 408-726-9457
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