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1679231807
JORGE CAMILO MENDEZ VIDES
TARZANA, CA
NPI
1679231807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: CA E144860)
Enumeration Date
2021-12-06
Last Update Date
2021-12-06
Business Address
JORGE CAMILO MENDEZ VIDES
18321 CLARK ST
TARZANA, CA 91356-3501
Phone number: 818-708-5172
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Mailing Address
JORGE CAMILO MENDEZ VIDES
18321 CLARK ST
TARZANA, CA 91356-3501
Phone number: 818-708-5172
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