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1790265650
JUAN CORNELL
RIVERSIDE, CA
NPI
1790265650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: CA 336425651)
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
JUAN CORNELL
1622 PALERMO DR
RIVERSIDE, CA 92507-2393
Phone number: 562-685-4610
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Mailing Address
JUAN CORNELL
1622 PALERMO DR
RIVERSIDE, CA 92507-2393
Phone number: 562-685-4610
Copy
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