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1790106847
LAFAYETTE WEBSTER
FRESNO, CA
NPI
1790106847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-12-16
Last Update Date
2013-12-16
Business Address
-- LAFAYETTE WEBSTER
258 N BLACKSTONE AVE
FRESNO, CA 93701-1913
Phone number: 559-274-0299
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Mailing Address
-- LAFAYETTE WEBSTER
258 N BLACKSTONE AVE
FRESNO, CA 93701-1913
Phone number: 559-374-0299
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