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Individual

MR. JOSE SOLIS COBIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
38330 CHUPEROSA LN, CATHEDRAL CITY, CA 92234-2006
(760) 835-4255
(760) 657-2639
Mailing address
38330 CHUPEROSA LN, CATHEDRAL CITY, CA 92234-2006
(760) 835-4255
(760) 657-2639

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
12/19/2016
Last updated
01/11/2017
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