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1730750225
MIKE ERVIN JENERETTE
SAN DIEGO, CA
NPI
1730750225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-07-06
Last Update Date
2021-07-06
Business Address
MIKE ERVIN JENERETTE
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
MIKE ERVIN JENERETTE
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Copy
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