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1780396010
JOSE PAZ
SAN DIEGO, CA
NPI
1780396010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
JOSE PAZ IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 305-505-8471
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Mailing Address
JOSE PAZ IDC
5645 FRIARS RD UNIT 364
SAN DIEGO, CA 92110-2537
Phone number: 305-505-8471
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