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1093400137
JUAN DE LA ROSA
BAKERSFIELD, CA
NPI
1093400137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15287)
Enumeration Date
2023-04-05
Last Update Date
2023-05-05
Business Address
JUAN DE LA ROSA
501 W COLUMBUS ST
BAKERSFIELD, CA 93301-1263
Phone number: 661-328-0245
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Mailing Address
JUAN DE LA ROSA
7246 REMMET AVE
CANOGA PARK, CA 91303-1531
Phone number: 818-206-0360
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