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1821290917
ALFONSO F JIMENEZ
EWA BEACH, HI
NPI
1821290917
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Entity Type
Organization
Authorized Contact
ALFONSO F JIMENEZ
Owner
808-689-4414
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2007-06-01
Last Update Date
2008-08-26
Business Address
ALFONSO F JIMENEZ
91-896 MAKULE RD SUITE 102
EWA BEACH, HI 96706-2543
Phone number: 808-689-4414
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Mailing Address
ALFONSO F JIMENEZ
91-896 MAKULE RD SUITE 102
EWA BEACH, HI 96706-2543
Phone number: 808-689-4414
Copy
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