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1740930445
NICAMER TOLENTINO
ROSEVILLE, CA
NPI
1740930445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2022-03-25
Last Update Date
2022-03-25
Business Address
NICAMER TOLENTINO
1224 COLOMA WAY
ROSEVILLE, CA 95661-4601
Phone number: 408-385-6677
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Mailing Address
NICAMER TOLENTINO
1224 COLOMA WAY
ROSEVILLE, CA 95661-4601
Phone number: 408-385-6677
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