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1811027170
ISRAEL RONALDO MENDOZA
MERRILLVILLE, IN
NPI
1811027170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- ISRAEL RONALDO MENDOZA AA
8555 TAFT ST
MERRILLVILLE, IN 46410-6123
Phone number: 219-769-4005
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Mailing Address
-- ISRAEL RONALDO MENDOZA AA
4014 RAILROAD AVE
EAST CHICAGO, IN 46312-2548
Phone number:
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