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1154011401
OSCAR MAURICIO QUINTANILLA
TEHACHAPI, CA
NPI
1154011401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-05-10
Last Update Date
2023-09-18
Business Address
OSCAR MAURICIO QUINTANILLA
113 E F ST
TEHACHAPI, CA 93561-1710
Phone number: 661-822-8223
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Mailing Address
OSCAR MAURICIO QUINTANILLA
113 E F ST
TEHACHAPI, CA 93561-1710
Phone number: 661-822-8223
Copy
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