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1851987820
PARIS MENESESBLACKMON
SAN DIEGO, CA
NPI
1851987820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-12-14
Last Update Date
2020-12-14
Business Address
PARIS MENESESBLACKMON
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6666
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Mailing Address
PARIS MENESESBLACKMON
3485 OLIVE ST APT 204
LEMON GROVE, CA 91945-2263
Phone number:
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