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1275046591
ELLEN MENDOZA CHURCH
SAN JOSE, CA
NPI
1275046591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-11-08
Last Update Date
2018-02-02
Business Address
ELLEN MENDOZA CHURCH
130 E SAN FERNANDO ST APT 410
SAN JOSE, CA 95112-7416
Phone number: 408-775-1411
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Mailing Address
ELLEN MENDOZA CHURCH
130 E SAN FERNANDO ST APT 420
SAN JOSE, CA 95112-7420
Phone number:
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