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1770755225
IZUMI VICKERS
MOJAVE, CA
NPI
1770755225
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Former Name
IZUMI MURASE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-03-25
Last Update Date
2008-03-25
Business Address
-- IZUMI VICKERS
16940 HIGHWAY 14 SUITE F
MOJAVE, CA 93501-1238
Phone number: 661-824-5020
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Mailing Address
-- IZUMI VICKERS
16940 HIGHWAY 14 SUITE F
MOJAVE, CA 93501-1238
Phone number: 661-824-5020
Copy
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