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Individual

JESUS JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
1017A HUEY DR, CORPUS CHRISTI, TX 78418
(361) 516-6492
Mailing address
1017A HUEY DR, CORPUS CHRISTI, TX 78418

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
1710I1002X
TX

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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