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1720521057
JACK GOMEZ
LOS ANGELES, CA
NPI
1720521057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-11-17
Last Update Date
2024-03-26
Business Address
Mr. JACK GOMEZ
12021 WILMINGTON AVE UNIT 2B
LOS ANGELES, CA 90059-3019
Phone number: 213-222-1681
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Mailing Address
Mr. JACK GOMEZ
12021 WILMINGTON AVE UNIT 2B
LOS ANGELES, CA 90059-3019
Phone number: 213-222-1681
Copy
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