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1033618129
JERRY WILLIAM ORTEGA
BAKERSFIELD, CA
NPI
1033618129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1232721016)
Enumeration Date
2018-02-05
Last Update Date
2018-02-05
Business Address
JERRY WILLIAM ORTEGA R1232721016
1124 BAKER ST
BAKERSFIELD, CA 93305-4322
Phone number: 661-327-9376
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Mailing Address
JERRY WILLIAM ORTEGA R1232721016
1124 BAKER ST
BAKERSFIELD, CA 93305-4322
Phone number: 661-327-9376
Copy
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