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1750912994
NATHAN SAMUEL PERDOMO
PASADENA, CA
NPI
1750912994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-01-27
Last Update Date
2020-03-05
Business Address
NATHAN SAMUEL PERDOMO
1020 S ARROYO PKWY
PASADENA, CA 91105-3911
Phone number: 626-403-2794
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Mailing Address
NATHAN SAMUEL PERDOMO
1692 PUENTE AVE
BALDWIN PARK, CA 91706-5956
Phone number: 626-484-7941
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