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1528181070
MARIO R JIMINEZ
EUREKA, CA
NPI
1528181070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-04-09
Last Update Date
2010-05-19
Business Address
-- MARIO R JIMINEZ
507 F ST
EUREKA, CA 95501-1009
Phone number: 707-441-5510
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Mailing Address
-- MARIO R JIMINEZ
30 W SIMPSON ST APT A
EUREKA, CA 95501-5333
Phone number:
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