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1932469038
JORGE GONZALEZ
POMONA, CA
NPI
1932469038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2012-05-22
Last Update Date
2021-07-14
Business Address
JORGE GONZALEZ
2008 N GAREY AVE
POMONA, CA 91767-2722
Phone number: 909-623-6131
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Mailing Address
JORGE GONZALEZ
2008 N GAREY AVE
POMONA, CA 91767-2722
Phone number: 909-623-6131
Copy
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