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1366101800
JONATHAN G PROSSER
EL CENTRO, CA
NPI
1366101800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA RN95216690)
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
JONATHAN G PROSSER
2364 S 2ND ST
EL CENTRO, CA 92243-9642
Phone number: 760-332-1468
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Mailing Address
JONATHAN G PROSSER
2364 S 2ND ST
EL CENTRO, CA 92243-9642
Phone number: 760-332-1468
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