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1164114146
JAIR SOLIS LOPEZ
POMONA, CA
NPI
1164114146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-25
Last Update Date
2024-02-12
Business Address
JAIR SOLIS LOPEZ
200 W 3RD ST
POMONA, CA 91766-2504
Phone number: 909-710-5747
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Mailing Address
JAIR SOLIS LOPEZ
200 W 3RD ST
POMONA, CA 91766-2504
Phone number: 909-710-5747
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