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1538656038
JOSE ANTONIO MENDOZA PINTO
OMAHA, NE
NPI
1538656038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
JOSE ANTONIO MENDOZA PINTO
2505 N 24TH ST
OMAHA, NE 68110-2252
Phone number: 402-451-5549
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Mailing Address
JOSE ANTONIO MENDOZA PINTO
2505 N 24TH ST
OMAHA, NE 68110-2252
Phone number:
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