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1194931311
JESUS JIMENEZ
CORPUS CHRISTI, TX
NPI
1194931311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
(Licence: TX 1710I1002X)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
JESUS JIMENEZ IDC
1017A HUEY DR
CORPUS CHRISTI, TX 78418
Phone number: 361-516-6492
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Mailing Address
JESUS JIMENEZ IDC
1017A HUEY DR
CORPUS CHRISTI, TX 78418
Phone number:
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