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1750573523
JEROME PENAFLOR
ESCONDIDO, CA
NPI
1750573523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CA 195969)
Enumeration Date
2007-08-15
Last Update Date
2007-08-15
Business Address
-- JEROME PENAFLOR LVN
2051 SHADETREE LN
ESCONDIDO, CA 92029-5304
Phone number: 858-354-6978
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Mailing Address
-- JEROME PENAFLOR LVN
2051 SHADETREE LN
ESCONDIDO, CA 92029-5304
Phone number: 858-354-6978
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