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1053561688
JOSE R MENDOZA
INGLEWOOD, CA
NPI
1053561688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA 19531)
Enumeration Date
2008-09-18
Last Update Date
2009-07-16
Business Address
MR. JOSE R MENDOZA
313 1/2 E BUCKTHORN ST
INGLEWOOD, CA 90301-3417
Phone number: 310-722-2114
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Mailing Address
MR. JOSE R MENDOZA
PO BOX 635
HAWTHORNE, CA 90251-0635
Phone number: 310-722-2114
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