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1306036553
JESUS MENDOZA
VISTA, CA
NPI
1306036553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA 952815615)
Enumeration Date
2007-07-25
Last Update Date
2007-07-25
Business Address
-- JESUS MENDOZA
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-407-1220
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Mailing Address
-- JESUS MENDOZA
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-407-1220
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