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1144605072
JESUS MENDOZA
SANTA CLARA, CA
NPI
1144605072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 86809)
Enumeration Date
2015-07-21
Last Update Date
2023-07-26
Business Address
JESUS MENDOZA
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054-1140
Phone number: 323-968-6182
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Mailing Address
JESUS MENDOZA
20687 AMAR RD STE 2-165
WALNUT, CA 91789-5044
Phone number:
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