JURES DECOLONGON

SYLMAR, CA
NPI1972023349
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP2201X Registered Nurse Ambulatory Care
(Licence: CA  521518)
Enumeration Date2017-06-26
Last Update Date2017-06-26
Business Address
MR. JURES DECOLONGON
14445 OLIVE VIEW DR
SYLMAR, CA 91342-1437
Phone number: 747-210-3125
Mailing Address
MR. JURES DECOLONGON
14445 OLIVE VIEW DR
SYLMAR, CA 91342-1437
Phone number:
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