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1962045690
JUAN CARLOS GOMEZ
LOS ANGELES, CA
NPI
1962045690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-25
Last Update Date
2019-10-25
Business Address
JUAN CARLOS GOMEZ
470 E 3RD ST STE C
LOS ANGELES, CA 90013-1630
Phone number: 213-620-5712
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Mailing Address
JUAN CARLOS GOMEZ
470 E 3RD ST STE C
LOS ANGELES, CA 90013-1630
Phone number: 213-620-5712
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