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1750977385
KRISTY JEAN FACKRELL
DIAMOND SPRINGS, CA
NPI
1750977385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-12-17
Last Update Date
2023-06-16
Business Address
KRISTY JEAN FACKRELL
768 PLEASANT VALLEY RD
DIAMOND SPRINGS, CA 95619-9260
Phone number: 530-621-6659
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Mailing Address
KRISTY JEAN FACKRELL
768 PLEASANT VALLEY RD STE 201
DIAMOND SPRINGS, CA 95619-9260
Phone number: 530-621-6639
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