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1841836426
GORGE CARLO VIZCARRA GRANADOS
MERCED, CA
NPI
1841836426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
GORGE CARLO VIZCARRA GRANADOS
3360 N HIGHWAY 59 STE K
MERCED, CA 95348-9405
Phone number: 209-726-3090
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Mailing Address
GORGE CARLO VIZCARRA GRANADOS
3568 WHITE WOLF CT
MERCED, CA 95340-0659
Phone number: 559-352-6479
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