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1013403724
JACOB BALDWIN
VISTA, CA
NPI
1013403724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-05
Last Update Date
2018-07-05
Business Address
JACOB BALDWIN
993 POSTAL WAY
VISTA, CA 92083-6945
Phone number: 760-630-9922
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Mailing Address
JACOB BALDWIN
993 POSTAL WAY
VISTA, CA 92083-6945
Phone number: 760-630-9922
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