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1457910952
JORGE OMAR ESCAMILLA AVINA
SAN MARCOS, CA
NPI
1457910952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-07
Last Update Date
2019-06-07
Business Address
MR. JORGE OMAR ESCAMILLA AVINA
751 RANCHEROS DR STE 5
SAN MARCOS, CA 92069-3042
Phone number: 760-761-0515
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Mailing Address
MR. JORGE OMAR ESCAMILLA AVINA
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
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