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1104302769
ANTONIA ELI ORTIZ
RIVERSIDE, CA
NPI
1104302769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
ANTONIA ELI ORTIZ BA
1650 SPRUCE ST STE 250
RIVERSIDE, CA 92507-7429
Phone number: 951-261-4510
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Mailing Address
ANTONIA ELI ORTIZ BA
7778 LAKESIDE DR
RIVERSIDE, CA 92509-5323
Phone number:
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