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1912638842
SELENE NICOLE MALDONADO LOPEZ
MERCED, CA
NPI
1912638842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-06-21
Last Update Date
2023-05-16
Business Address
SELENE NICOLE MALDONADO LOPEZ
1020 W MAIN ST
MERCED, CA 95340-4521
Phone number: 925-495-7486
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Mailing Address
SELENE NICOLE MALDONADO LOPEZ
1020 W MAIN ST
MERCED, CA 95340-4521
Phone number: 209-205-0995
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