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1962969741
KY NIXON
TURLOCK, CA
NPI
1962969741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-02-27
Last Update Date
2023-10-24
Business Address
KY NIXON
420 E CANAL DR
TURLOCK, CA 95380-3936
Phone number: 209-502-9162
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Mailing Address
KY NIXON
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: 209-572-2589
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