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1841817806
JOSE JAVIER RIVERA
LOS ANGELES, CA
NPI
1841817806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
JOSE JAVIER RIVERA
8300 S VERMONT AVE
LOS ANGELES, CA 90044-3493
Phone number: 818-256-2050
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Mailing Address
JOSE JAVIER RIVERA
919 1ST ST
SAN FERNANDO, CA 91340-2957
Phone number: 818-256-2050
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