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1417785825
JOSE LUIS MENDIVIL
RIVERSIDE, CA
NPI
1417785825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-07-25
Last Update Date
2024-08-06
Business Address
JOSE LUIS MENDIVIL
3525 PRESLEY AVE
RIVERSIDE, CA 92507-4453
Phone number: 951-955-9375
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Mailing Address
JOSE LUIS MENDIVIL
3525 PRESLEY AVE STE 12
RIVERSIDE, CA 92507-4453
Phone number: 951-955-9375
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