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1710547583
JIOVANNI CARLOS SANTOS
SAN DIEGO, CA
NPI
1710547583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2019-06-14
Last Update Date
2019-06-14
Business Address
JIOVANNI CARLOS SANTOS
1315 25TH ST
SAN DIEGO, CA 92102-2107
Phone number: 719-961-5233
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Mailing Address
JIOVANNI CARLOS SANTOS
3790 FLORIDA ST UNIT C121
SAN DIEGO, CA 92104-6226
Phone number: 619-453-1885
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