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1194283408
JERRY M HOLMES
SAN DIEGO, CA
NPI
1194283408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-05
Last Update Date
2019-03-05
Business Address
Mr. JERRY M HOLMES
4283 EL CAJON BLVD STE 115
SAN DIEGO, CA 92105-1289
Phone number: 619-521-1743
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Mailing Address
Mr. JERRY M HOLMES
4283 EL CAJON BLVD STE 115
SAN DIEGO, CA 92105-1289
Phone number: 619-521-1743
Copy
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