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1376116863
JORGE ANTONIO PEREZ-ORTIZ
SAN DIEGO, CA
NPI
1376116863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 2000039790)
Enumeration Date
2021-07-21
Last Update Date
2021-07-21
Business Address
JORGE ANTONIO PEREZ-ORTIZ ATC
1954 KOMET WAY
SAN DIEGO, CA 92111-5743
Phone number: 619-547-4749
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Mailing Address
JORGE ANTONIO PEREZ-ORTIZ ATC
12012 LEMON CREST DR
LAKESIDE, CA 92040-3712
Phone number:
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