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1700547619
IVAN MENDIVIL
SAN DIEGO, CA
NPI
1700547619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-01-03
Last Update Date
2022-01-03
Business Address
IVAN MENDIVIL
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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Mailing Address
IVAN MENDIVIL
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
Copy
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