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1386490423
JORGE ARMANDO MEDINA ONTIVEROS
SAN DIEGO, CA
NPI
1386490423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
JORGE ARMANDO MEDINA ONTIVEROS
3002 ARMSTRONG ST
SAN DIEGO, CA 92111-5702
Phone number: 858-633-4100
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Mailing Address
JORGE ARMANDO MEDINA ONTIVEROS
1438 MAX AVE
CHULA VISTA, CA 91911-5250
Phone number: 619-621-4836
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