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1588149017
JACOB J AMBROSE
SAN DIEGO, CA
NPI
1588149017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-10-01
Last Update Date
2018-10-01
Business Address
JACOB J AMBROSE
3002 ARMSTRONG ST
SAN DIEGO, CA 92111-5702
Phone number: 858-277-9550
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Mailing Address
JACOB J AMBROSE
3002 ARMSTRONG ST
SAN DIEGO, CA 92111-5702
Phone number: 858-277-9550
Copy
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