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1740649482
ATH KITTIPHANE
MODESTO, CA
NPI
1740649482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-02-22
Last Update Date
2016-02-22
Business Address
-- ATH KITTIPHANE
1216 COLLIER AVE
MODESTO, CA 95350-5302
Phone number: 209-499-4621
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Mailing Address
-- ATH KITTIPHANE
1216 COLLIER AVE
MODESTO, CA 95350-5302
Phone number: 209-499-4621
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