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1689790099
JOSE RAUL MIRELES - GUZMAN
CHULA VISTA, CA
NPI
1689790099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- JOSE RAUL MIRELES - GUZMAN
1124 BAY BLVD STE D
CHULA VISTA, CA 91911-7155
Phone number: 619-420-3620
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Mailing Address
-- JOSE RAUL MIRELES - GUZMAN
4782 ARIZONA ST APT 7
SAN DIEGO, CA 92116-1322
Phone number: 619-420-0468
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