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1346923281
JORGE LUIS LOPEZ CARMONA
SANTA ANA, CA
NPI
1346923281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
JORGE LUIS LOPEZ CARMONA
2130 E 4TH ST STE 200
SANTA ANA, CA 92705-3818
Phone number: 714-543-5437
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Mailing Address
JORGE LUIS LOPEZ CARMONA
2130 E 4TH ST STE 200
SANTA ANA, CA 92705-3818
Phone number: 714-543-5437
Copy
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