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1063666022
JASON ORTEGA
OAKLAND, CA
NPI
1063666022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2008-11-04
Last Update Date
2016-02-09
Business Address
-- JASON ORTEGA
629 OAKLAND AVE
OAKLAND, CA 94611-4567
Phone number: 510-318-6112
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Mailing Address
-- JASON ORTEGA
629 OAKLAND AVE
OAKLAND, CA 94611-4567
Phone number:
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