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1609490002
JESUS SANDRO BRACAMONTES BARRAGAN
SAN DIEGO, CA
NPI
1609490002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 710315)
Enumeration Date
2020-06-01
Last Update Date
2023-11-14
Business Address
JESUS SANDRO BRACAMONTES BARRAGAN LVN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8200
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Mailing Address
JESUS SANDRO BRACAMONTES BARRAGAN LVN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8200
Copy
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