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1124286596
ALFONZO JAQUEZ
ALLENTOWN, PA
NPI
1124286596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-06-01
Last Update Date
2008-06-02
Business Address
-- ALFONZO JAQUEZ MA
210 N 6TH ST
ALLENTOWN, PA 18102-4112
Phone number: 484-221-9135
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Mailing Address
-- ALFONZO JAQUEZ MA
2030 W TILGHMAN ST SUITE 105B
ALLENTOWN, PA 18104-4354
Phone number: 484-221-9135
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