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1164573671
JODALIN SIMANGAN MAMAUAG
SACRAMENTO, CA
NPI
1164573671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
Enumeration Date
2007-01-13
Last Update Date
2007-07-08
Business Address
-- JODALIN SIMANGAN MAMAUAG
2501 NORTHVIEW DR
SACRAMENTO, CA 95833-2129
Phone number: 916-359-2174
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Mailing Address
-- JODALIN SIMANGAN MAMAUAG
2501 NORTHVIEW DR
SACRAMENTO, CA 95833-2129
Phone number: 916-359-2174
Copy
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