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1760966857
WILSON ANTONIO LOZA
SACRAMENTO, CA
NPI
1760966857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-24
Last Update Date
2018-10-24
Business Address
WILSON ANTONIO LOZA
7415 HENRIETTA DR
SACRAMENTO, CA 95822-5142
Phone number: 916-520-7399
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Mailing Address
WILSON ANTONIO LOZA
7415 HENRIETTA DR
SACRAMENTO, CA 95822-5142
Phone number:
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