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1184130676
JOSE ISIDRO TELLO
SAN DIEGO, CA
NPI
1184130676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2017-12-19
Last Update Date
2017-12-19
Business Address
JOSE ISIDRO TELLO IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
JOSE ISIDRO TELLO IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number:
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