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1013051523
JONATHAN SINCLAIR NETTLES
LONG BEACH, CA
NPI
1013051523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA B9206616)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
Mr. JONATHAN SINCLAIR NETTLES
1501 HUGHES WAY
LONG BEACH, CA 90810-1876
Phone number: 310-221-6336
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Mailing Address
Mr. JONATHAN SINCLAIR NETTLES
1501 HUGHES WAY
LONG BEACH, CA 90810-1876
Phone number: 310-221-6336
Copy
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