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1841083300
DEMONT JEFFERSON
SAN BERNARDINO, CA
NPI
1841083300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2025-05-27
Last Update Date
2025-05-27
Business Address
DEMONT JEFFERSON
696 S TIPPECANOE AVE
SAN BERNARDINO, CA 92408-2607
Phone number: 909-723-1695
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Mailing Address
DEMONT JEFFERSON
696 S TIPPECANOE AVE
SAN BERNARDINO, CA 92408-2607
Phone number: 909-723-1695
Copy
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