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1861037665
IVAN DEJESUS
SAN JOSE, CA
NPI
1861037665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-15
Last Update Date
2019-11-15
Business Address
IVAN DEJESUS
800 N 1ST ST
SAN JOSE, CA 95112-6312
Phone number: 408-299-0462
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Mailing Address
IVAN DEJESUS
800 N 1ST ST
SAN JOSE, CA 95112-6312
Phone number: 408-299-0462
Copy
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