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1083145627
DOMINGO PONTEJOS
SAN DIEGO, CA
NPI
1083145627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: CA 00848703)
Enumeration Date
2017-03-24
Last Update Date
2017-03-24
Business Address
MR. DOMINGO PONTEJOS
600 B ST
SAN DIEGO, CA 92101-4501
Phone number: 619-615-3197
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Mailing Address
MR. DOMINGO PONTEJOS
7230 ZEST ST
SAN DIEGO, CA 92139-1252
Phone number: 619-763-8822
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