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1942810585
SARAH PRAVONG
STOCKTON, CA
NPI
1942810585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-08-07
Last Update Date
2021-06-02
Business Address
SARAH PRAVONG
6 S EL DORADO ST
STOCKTON, CA 95202-2804
Phone number: 209-623-1411
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Mailing Address
SARAH PRAVONG
6 S ELDORADO ST
STOCKTON, CA 95202
Phone number: 209-623-1411
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