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1356952584
JACK MEDRANO MEJIA
SAN DIEGO, CA
NPI
1356952584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 702870)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
JACK MEDRANO MEJIA
446 ALTA RD
SAN DIEGO, CA 92158-0001
Phone number: 619-661-2789
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Mailing Address
JACK MEDRANO MEJIA
5530 OVERLAND AVE
SAN DIEGO, CA 92123-1260
Phone number:
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