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1225706096
JOHNATHAN BRANDON WELLINGTON
MORENO VALLEY, CA
NPI
1225706096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: CA 550006383)
Enumeration Date
2021-09-05
Last Update Date
2021-09-05
Business Address
JOHNATHAN BRANDON WELLINGTON
25400 ALESSANDRO BLVD STE 102
MORENO VALLEY, CA 92553-4319
Phone number: 951-750-0117
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Mailing Address
JOHNATHAN BRANDON WELLINGTON
27882 DE LA VALLE DR
MORENO VALLEY, CA 92555-5917
Phone number: 951-750-0117
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