JESUS GAYTAN ASCENCIO

MODESTO, CA
NPI1245358530
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-03-26
Last Update Date2012-10-24
Business Address
Mr. JESUS GAYTAN ASCENCIO
2215 BLUE GUM AVE
MODESTO, CA 95358-1052
Phone number: 209-525-5401
Mailing Address
Mr. JESUS GAYTAN ASCENCIO
2118 TUCSON AVE
MODESTO, CA 95358-5944
Phone number:
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