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1538745849
JUAN MEDINA GARCIA
LODI, CA
NPI
1538745849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-03-18
Last Update Date
2024-01-09
Business Address
JUAN MEDINA GARCIA
1111 W TOKAY ST STE AC
LODI, CA 95240-3965
Phone number: 925-999-4119
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Mailing Address
JUAN MEDINA GARCIA
3123 INDEPENDENCE DR
LIVERMORE, CA 94551-7595
Phone number: 925-999-4119
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