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1750926788
TANYA MARIE FASTNACHT
RIDGECREST, CA
NPI
1750926788
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Former Name
TANYA MARIE FRANDSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-13
Last Update Date
2019-11-13
Business Address
TANYA MARIE FASTNACHT
1400 N NORMA ST
RIDGECREST, CA 93555-2575
Phone number: 760-463-5053
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Mailing Address
TANYA MARIE FASTNACHT
337 LARKSPUR ST
RIDGECREST, CA 93555-4429
Phone number: 425-501-4808
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