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1174266993
JUSTIN TENAMAXTLY PEREZ
SACRAMENTO, CA
NPI
1174266993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-04-19
Last Update Date
2024-08-13
Business Address
JUSTIN TENAMAXTLY PEREZ
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number: 916-584-7800
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Mailing Address
JUSTIN TENAMAXTLY PEREZ
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number: 916-584-7800
Copy
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