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1508500471
JUSTIN FOREST JURGENS
YUCCA VALLEY, CA
NPI
1508500471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-04-26
Last Update Date
2022-04-26
Business Address
JUSTIN FOREST JURGENS
7281 DUMOSA AVE STE 4
YUCCA VALLEY, CA 92284-3781
Phone number: 760-853-4755
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Mailing Address
JUSTIN FOREST JURGENS
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507-2498
Phone number: 951-955-7320
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