1841425295

Everything you always wanted to know about CERVANTES JULIE but were afraid to ask.

CERVANTES JULIE

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Provider Last Name Provider First Name
CERVANTES JULIE
Gender:
Female
Enumeration date:
2009-05-28
Last update date:
2009-05-28
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
171M00000X Case Manager/Care Coordinator none none Y

Phone Numbers

Type Number
Practice Location Address Fax Number 6265681914
Mailing Address Telephone Number 6263565311
Practice Location Address Telephone Number 6263565311

Addresses

Type Address City State Postal Country
Mailing Address 300 E WALNUT ST PASADENA CA 91101 CA
Practice Location Address 300 E WALNUT ST PASADENA CA 91101 CA

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300 E WALNUT ST CA PASADENA
1679872667 KLECKLEY, KARIM
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300 E WALNUT ST CA PASADENA
1811146202 BUGARIN, MICHELLE
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300 E WALNUT ST CA PASADENA