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1225651722
GABRIEL VICTOR MENDONCA DE SOUZA
SAN DIEGO, CA
NPI
1225651722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
GABRIEL VICTOR MENDONCA DE SOUZA
2220 BROADWAY
SAN DIEGO, CA 92102-1926
Phone number: 619-232-8126
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Mailing Address
GABRIEL VICTOR MENDONCA DE SOUZA
2220 BROADWAY
SAN DIEGO, CA 92102-1926
Phone number: 619-232-8126
Copy
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