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Individual
MNAUEL FERNANDO OLIVAREZ
Active
Individual
MNAUEL FERNANDO OLIVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
171M00000X
CA
172A00000X
Driver
Primary
—
—
253J00000X
Foster Care Agency
171M00000X
CA
Other
Enumeration date
09/21/2016
Last updated
04/21/2017
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