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Case Number and Status

Case Number: I-200-16316-274595

Submitted on:

CERTIFIED

on:

Employment

From: 2016-12-01

To: 2019-11-30 (1,094 days)

Address

150 Tejas Place
Nipomo, CA 93444

Phone

8053463908


Attorney Summary

Location
New York, NY

Job Summary

Job Title
Internal Medicine
City and State
Arroyo Grande, CA
County
San Luis Obispo

Soc Code
29-1069.00
Naics Code
Industry Code
621498