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1386838647
JENNER FLORES
HAYWARD, CA
NPI
1386838647
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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
2007-08-30
Last Update Date
2007-08-30
Business Address
-- JENNER FLORES
29519 CHANCE ST
HAYWARD, CA 94544-6577
Phone number: 510-303-2430
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Mailing Address
-- JENNER FLORES
29519 CHANCE ST
HAYWARD, CA 94544-6577
Phone number:
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