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1942063318
QUEENIE KRYSTAL ANN SALAZAR ORTEZA
SAN JOSE, CA
NPI
1942063318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-01-30
Last Update Date
2024-01-30
Business Address
QUEENIE KRYSTAL ANN SALAZAR ORTEZA
425 E SANTA CLARA ST
SAN JOSE, CA 95113-1936
Phone number: 669-245-3429
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Mailing Address
QUEENIE KRYSTAL ANN SALAZAR ORTEZA
3368 METHILHAVEN LN
SAN JOSE, CA 95121-1360
Phone number: 510-646-7170
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