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1063904159
JACQUELINE JULISSA SOSA-TORRES
ONTARIO, CA
NPI
1063904159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
Mrs. JACQUELINE JULISSA SOSA-TORRES
812 N EUCLID AVE
ONTARIO, CA 91762-2714
Phone number: 909-395-0888
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Mailing Address
Mrs. JACQUELINE JULISSA SOSA-TORRES
4495 LAKEWOOD DR
SAN BERNARDINO, CA 92407-3327
Phone number: 909-844-9994
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