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1073960522
JUSTIN JOSE RIVERA
GRASS VALLEY, CA
NPI
1073960522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA E5546)
Enumeration Date
2016-05-14
Last Update Date
2019-11-26
Business Address
Dr. JUSTIN JOSE RIVERA DPM
104 MARGARET LN STE A
GRASS VALLEY, CA 95945-5261
Phone number: 530-648-1234
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Mailing Address
Dr. JUSTIN JOSE RIVERA DPM
104 MARGARET LN STE A
GRASS VALLEY, CA 95945-5261
Phone number: 530-648-1234
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