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1063482131
JON NORDGAARD
SANTA CRUZ, CA
NPI
1063482131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: CA E3367)
Enumeration Date
2006-01-23
Last Update Date
2013-08-22
Business Address
-- JON NORDGAARD
2900 CHANTICLEER AVE
SANTA CRUZ, CA 95065-1816
Phone number: 831-477-2325
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Mailing Address
-- JON NORDGAARD
2025 SOQUEL AVE
SANTA CRUZ, CA 95062-1323
Phone number:
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