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1770262354
LUCERO VILLICANA-TELLEZ
CERES, CA
NPI
1770262354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-07-12
Last Update Date
2024-06-12
Business Address
LUCERO VILLICANA-TELLEZ
2528 LESLIE LN
CERES, CA 95307-2326
Phone number: 209-538-7331
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Mailing Address
LUCERO VILLICANA-TELLEZ
PO BOX 490
CERES, CA 95307-0490
Phone number: 209-531-2088
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