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1821804071
CHARLIE FARISH
MODESTO, CA
NPI
1821804071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-12-03
Last Update Date
2024-12-03
Business Address
CHARLIE FARISH
121 DOWNEY AVE
MODESTO, CA 95354-1208
Phone number: 209-341-1824
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Mailing Address
CHARLIE FARISH
121 DOWNEY AVE
MODESTO, CA 95354-1208
Phone number: 209-341-1824
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