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1497522585
JOSEF LUSUNG MENDOZA
FAIRFIELD, CA
NPI
1497522585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 737145)
Enumeration Date
2023-12-07
Last Update Date
2023-12-07
Business Address
JOSEF LUSUNG MENDOZA
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
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Mailing Address
JOSEF LUSUNG MENDOZA
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-428-1131
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