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1194358986
JONATHAN ACE CEZO MENDOZA
KLAMATH FALLS, OR
NPI
1194358986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: OR 60387)
Enumeration Date
2020-02-19
Last Update Date
2020-02-19
Business Address
JONATHAN ACE CEZO MENDOZA
2345 BIEHN ST
KLAMATH FALLS, OR 97601-1761
Phone number: 541-882-4612
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Mailing Address
JONATHAN ACE CEZO MENDOZA
4507 CANNON AVE APT 27
KLAMATH FALLS, OR 97603-6769
Phone number:
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