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1013636331
DORA ALICIA JACOBO
CHULA VISTA, CA
NPI
1013636331
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Other Name
ALICIA JACOBO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
DORA ALICIA JACOBO
1196 THIRD AVE
CHULA VISTA, CA 91911-3131
Phone number: 619-427-4661
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Mailing Address
DORA ALICIA JACOBO
1196 THIRD AVE
CHULA VISTA, CA 91911-3131
Phone number: 619-427-4661
Copy
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