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1861739039
IVANT ESCOBAR
SAN JOSE, CA
NPI
1861739039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-01-08
Last Update Date
2013-01-08
Business Address
-- IVANT ESCOBAR
645 WOOL CREEK DR SUITE 97
SAN JOSE, CA 95112-2617
Phone number: 408-283-6151
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Mailing Address
-- IVANT ESCOBAR
2625 ZANKER RD
SAN JOSE, CA 95134-2130
Phone number:
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