JERROLD C PENPRASE

SAN DIEGO, CA
NPI1114297124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-01-06
Last Update Date2012-01-06
Business Address
-- JERROLD C PENPRASE
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
Mailing Address
-- JERROLD C PENPRASE
11529 WINDCREST LN # 118
SAN DIEGO, CA 92128-4238
Phone number: 949-573-5429
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