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1144677113
EUDELINA ORTIZ JACOBO
COMMERCE, CA
NPI
1144677113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA ASW66659)
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
EUDELINA ORTIZ JACOBO
5650 JILLSON ST
COMMERCE, CA 90040-1482
Phone number: 323-201-4516
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Mailing Address
EUDELINA ORTIZ JACOBO
5650 JILLSON ST
COMMERCE, CA 90040-1482
Phone number: 323-201-4516
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