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1376068049
JUAN JIMENEZ
GARDENA, CA
NPI
1376068049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-08-03
Last Update Date
2017-08-03
Business Address
JUAN JIMENEZ
108 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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Mailing Address
JUAN JIMENEZ
2810 1/2 WABASH AVE APT 1
LOS ANGELES, CA 90033-2634
Phone number: 323-360-5129
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