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1932611811
EDGAR CANADA
PORTERVILLE, CA
NPI
1932611811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-10-31
Last Update Date
2017-10-31
Business Address
EDGAR CANADA
409 N MAIN ST
PORTERVILLE, CA 93257-2336
Phone number: 559-784-0312
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Mailing Address
EDGAR CANADA
409 N MAIN ST
PORTERVILLE, CA 93257-2336
Phone number: 559-784-0312
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