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1134653090
JOSE JESUS DUARTE
CARSON, CA
NPI
1134653090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-04-18
Last Update Date
2017-05-10
Business Address
MR. JOSE JESUS DUARTE
521 W 218TH PL APT 16
CARSON, CA 90745-2822
Phone number: 310-729-2336
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Mailing Address
MR. JOSE JESUS DUARTE
521 W 218TH PL APT 16
CARSON, CA 90745-2822
Phone number: 310-729-2336
Copy
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