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1801236880
DMITRIY SAZONOV
SACRAMENTO, CA
NPI
1801236880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-07-05
Last Update Date
2024-10-08
Business Address
DMITRIY SAZONOV
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-875-1146
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Mailing Address
DMITRIY SAZONOV
2150 STOCKTON BOULEVARD
SACRAMENTO, CA 95817
Phone number: 916-875-1146
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