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1033741541
BRIAN JACOBO
COSTA MESA, CA
NPI
1033741541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW84258)
Enumeration Date
2020-02-12
Last Update Date
2020-03-12
Business Address
BRIAN JACOBO
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 949-642-2734
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Mailing Address
BRIAN JACOBO
10308 NIGHTINGALE AVE
FOUNTAIN VALLEY, CA 92708-7418
Phone number:
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