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1972340586
CASEY V TAITANO
CHULA VISTA, CA
NPI
1972340586
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
CASEY V TAITANO
746 ADA ST
CHULA VISTA, CA 91911-2693
Phone number: 800-640-2933
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Mailing Address
CASEY V TAITANO
100 CITRONICA LN APT 217
LEMON GROVE, CA 91945-1558
Phone number: 619-609-1809
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