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1558197921
JORGE HUERTA
LOS OSOS, CA
NPI
1558197921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-09-11
Last Update Date
2024-12-22
Business Address
JORGE HUERTA
1861 8 ST
LOS OSOS, CA 93402-5243
Phone number: 805-458-6896
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Mailing Address
JORGE HUERTA
1861 8 ST
LOS OSOS, CA 93402-5243
Phone number: 805-458-6896
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