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1063703189
JEFFERY VERNER
GARDENA, CA
NPI
1063703189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-04-23
Last Update Date
2011-04-23
Business Address
-- JEFFERY VERNER
130 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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Mailing Address
-- JEFFERY VERNER
18208 E TUDOR ST
COVINA, CA 91722-1643
Phone number: 626-201-1624
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