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1730616475
JOSE PANTOJA
MADERA, CA
NPI
1730616475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-05-12
Last Update Date
2017-05-12
Business Address
-- JOSE PANTOJA
209 W YOSEMITE AVE
MADERA, CA 93637-3534
Phone number: 559-675-6739
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Mailing Address
-- JOSE PANTOJA
209 W YOSEMITE AVE
MADERA, CA 93637-3534
Phone number: 559-675-6739
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