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1144731522
MARIEL I MENDOZA
VENICE, CA
NPI
1144731522
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Other Name
MARIEL VARGAS MENDOZA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-10-12
Last Update Date
2017-10-12
Business Address
MARIEL I MENDOZA
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468
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Mailing Address
MARIEL I MENDOZA
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468
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