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1780163006
MARCOS LUIS SANDOVAL
SAN DIEGO, CA
NPI
1780163006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA 953302967)
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
Mr. MARCOS LUIS SANDOVAL
6224 EL CAJON BLVD SUITE 17
SAN DIEGO, CA 92115
Phone number: 619-287-8225
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Mailing Address
Mr. MARCOS LUIS SANDOVAL
10323 RESERVE DR APT 303
SAN DIEGO, CA 92127-3569
Phone number: 831-905-0191
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