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1033574421
JERMAINE HARNAGE
CHULA VISTA, CA
NPI
1033574421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-12-29
Last Update Date
2015-12-29
Business Address
-- JERMAINE HARNAGE
1172 3RD AVE STE D1
CHULA VISTA, CA 91911-3116
Phone number: 619-691-1662
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Mailing Address
-- JERMAINE HARNAGE
1172 3RD AVE STE D1
CHULA VISTA, CA 91911-3116
Phone number: 619-691-1662
Copy
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