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1972023349
JURES DECOLONGON
SYLMAR, CA
NPI
1972023349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: CA 521518)
Enumeration Date
2017-06-26
Last Update Date
2017-06-26
Business Address
Mr. JURES DECOLONGON
14445 OLIVE VIEW DR
SYLMAR, CA 91342-1437
Phone number: 747-210-3125
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Mailing Address
Mr. JURES DECOLONGON
14445 OLIVE VIEW DR
SYLMAR, CA 91342-1437
Phone number:
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