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1841851631
KENNY MENDOZA
SAN DIEGO, CA
NPI
1841851631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
KENNY MENDOZA
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Phone number: 619-532-6911
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Mailing Address
KENNY MENDOZA
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Phone number:
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