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1790172419
DENISE JEN
FONTANA, CA
NPI
1790172419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-04-21
Last Update Date
2021-12-06
Business Address
-- DENISE JEN
17234 VALLEY BLVD.
FONTANA, CA 92335-6847
Phone number: 909-427-5083
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Mailing Address
-- DENISE JEN
17234 VALLEY BLVD.
FONTANA, CA 92335-6847
Phone number: 909-427-5083
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