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1902458508
CASSANDRA SYSOUVANH
STOCKTON, CA
NPI
1902458508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-12
Last Update Date
2024-11-22
Business Address
Ms. CASSANDRA SYSOUVANH
4545 GEORGETOWN PL
STOCKTON, CA 95207-6215
Phone number: 209-639-4685
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Mailing Address
Ms. CASSANDRA SYSOUVANH
PO BOX 135
STOCKTON, CA 95201-0135
Phone number: 209-662-3099
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