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Individual

DEXTER DARWIN FRANCI OBAL DE LIMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2929 BABSON DR, ELK GROVE, CA 95758-6414
(916) 478-9588
Mailing address
2929 BABSON DR, ELK GROVE, CA 95758-6414
(916) 478-9588

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary

Other

Enumeration date
12/22/2017
Last updated
12/22/2017
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