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1932497435
JORDAN CHARLES JACOB MONIZ
SACRAMENTO, CA
NPI
1932497435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA D5996943)
Enumeration Date
2011-07-18
Last Update Date
2011-07-18
Business Address
-- JORDAN CHARLES JACOB MONIZ
3555 AURBURN BLVD
SACRAMENTO, CA 95821-9582
Phone number: 916-482-2370
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Mailing Address
-- JORDAN CHARLES JACOB MONIZ
3555 AURBURN BLVD
SACRAMENTO, CA 95821-9582
Phone number: 916-482-2370
Copy
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