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1063041895
JOSE LUIS MARRON
ANAHEIM, CA
NPI
1063041895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-04-03
Last Update Date
2020-04-03
Business Address
JOSE LUIS MARRON
617 S HARBOR BLVD UNIT B
ANAHEIM, CA 92805-4527
Phone number: 714-878-5398
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Mailing Address
JOSE LUIS MARRON
2010 E SANTA CLARA AVE APT 113
SANTA ANA, CA 92705-7848
Phone number: 714-878-5398
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