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1174260400
ANTHONY JIMENEZ
SAN BERNARDINO, CA
NPI
1174260400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 692642)
Enumeration Date
2022-05-18
Last Update Date
2022-05-18
Business Address
ANTHONY JIMENEZ
349 W 11TH ST
SAN BERNARDINO, CA 92410-3513
Phone number: 909-381-3774
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Mailing Address
ANTHONY JIMENEZ
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number:
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