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1114048972
DIEGO JESUS MORTERA
STOCKTON, CA
NPI
1114048972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
Mr. DIEGO JESUS MORTERA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-3760
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Mailing Address
Mr. DIEGO JESUS MORTERA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-3760
Copy
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