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1083834501
JOSE MENDIVIL
PHOENIX, AZ
NPI
1083834501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YS0200X Counselor, School
Enumeration Date
2007-04-26
Last Update Date
2007-07-26
Business Address
Mr. JOSE MENDIVIL
735 E FILLMORE ST
PHOENIX, AZ 85006-3324
Phone number: 602-257-4851
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Mailing Address
Mr. JOSE MENDIVIL
7043 W PURDUE AVE
PEORIA, AZ 85345-8857
Phone number: 623-878-0436
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