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1346890506
JUAN IGNACIO GOMEZ
LA VERNE, CA
NPI
1346890506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-09-18
Last Update Date
2019-09-18
Business Address
JUAN IGNACIO GOMEZ BA
1350 3RD ST
LA VERNE, CA 91750-5299
Phone number: 909-596-5921
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Mailing Address
JUAN IGNACIO GOMEZ BA
1350 3RD ST
LA VERNE, CA 91750-5299
Phone number:
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