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1790430767
MARISOL MEDINA
ELK GROVE, CA
NPI
1790430767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-02-17
Last Update Date
2023-09-15
Business Address
MARISOL MEDINA
9412 BIG HORN BLVD
ELK GROVE, CA 95758-1101
Phone number: 916-226-2812
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Mailing Address
MARISOL MEDINA
9412 BIG HORN BLVD
ELK GROVE, CA 95758-1101
Phone number:
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