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Individual
MR. MARIO GUERRERO EVANGELISTA
Active
Individual
MR. MARIO GUERRERO EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
E0019818
CA
251B00000X
Case Management Agency
E0019818
CA
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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