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1851165716
GENESIS VILLALTA CLARK
OCEANSIDE, CA
NPI
1851165716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-11-10
Last Update Date
2023-11-10
Business Address
GENESIS VILLALTA CLARK
3605 VISTA WAY STE 258
OCEANSIDE, CA 92056-4565
Phone number: 760-758-1480
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Mailing Address
GENESIS VILLALTA CLARK
3605 VISTA WAY STE 258
OCEANSIDE, CA 92056-4565
Phone number: 760-758-1480
Copy
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