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1699219303
JORGE RICARDO
UMATILLA, OR
NPI
1699219303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-12-14
Last Update Date
2016-12-14
Business Address
-- JORGE RICARDO
290 WILLAMETTE ST
UMATILLA, OR 97882-6601
Phone number: 541-922-0880
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Mailing Address
-- JORGE RICARDO
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number:
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