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1477979342
JOSE MANTUPAR
SACRAMENTO, CA
NPI
1477979342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-03-14
Last Update Date
2014-03-14
Business Address
-- JOSE MANTUPAR
2717 COTTAGE WAY # P
SACRAMENTO, CA 95825-1232
Phone number: 916-972-7429
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Mailing Address
-- JOSE MANTUPAR
2717 COTTAGE WAY # P
SACRAMENTO, CA 95825-1232
Phone number: 916-972-7429
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