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1730874942
JONATHAN JOSE CORTINA
STOCKTON, CA
NPI
1730874942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YP2500X Counselor, Professional
Enumeration Date
2023-04-05
Last Update Date
2023-12-07
Business Address
JONATHAN JOSE CORTINA
237 E CHANNEL ST
STOCKTON, CA 95202-2322
Phone number: 209-444-8910
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Mailing Address
JONATHAN JOSE CORTINA
237 E CHANNEL ST
STOCKTON, CA 95202-2322
Phone number: 209-444-8910
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