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1043707680
JESSICA SALAS
KISSIMMEE, FL
NPI
1043707680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
JESSICA SALAS
306 E OAK ST
KISSIMMEE, FL 34744-4537
Phone number: 407-933-8331
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Mailing Address
JESSICA SALAS
306 E OAK ST
KISSIMMEE, FL 34744-4537
Phone number: 407-933-8331
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