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1811516719
JESUS AVILA VEGA
MEMPHIS, TN
NPI
1811516719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-10
Last Update Date
2020-04-14
Business Address
JESUS AVILA VEGA
920 MADISON AVE STE 447
MEMPHIS, TN 38103-3438
Phone number: 901-448-5814
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Mailing Address
JESUS AVILA VEGA
956 COURT AVE STE H314
MEMPHIS, TN 38103-2814
Phone number:
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