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1922711738
OSCAR ENRIQUE ROQUE
PASADENA, CA
NPI
1922711738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-12-27
Last Update Date
2022-12-27
Business Address
OSCAR ENRIQUE ROQUE
1395 E ORANGE GROVE BLVD
PASADENA, CA 91104-3039
Phone number: 626-802-0507
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Mailing Address
OSCAR ENRIQUE ROQUE
712 1/2 E PALMER AVE
GLENDALE, CA 91205-3421
Phone number: 626-802-0507
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