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1376239541
JONATHAN MENDEZ
CHARLESTON, WV
NPI
1376239541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-12
Last Update Date
2023-04-12
Business Address
JONATHAN MENDEZ
2300 MACCORKLE AVE SE
CHARLESTON, WV 25304-1045
Phone number: 787-201-5275
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Mailing Address
JONATHAN MENDEZ
2300 MACCORKLE AVE SE
CHARLESTON, WV 25304-1045
Phone number: 787-201-5275
Copy
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