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1194109975
JOSE BULLECER REBUSTES
NEPTUNE, NJ
NPI
1194109975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00240900)
Enumeration Date
2015-07-12
Last Update Date
2015-07-12
Business Address
Mr. JOSE BULLECER REBUSTES MA, LAC, NCC
1945 CORLIES AVE
NEPTUNE, NJ 07753-4859
Phone number: 732-776-2325
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Mailing Address
Mr. JOSE BULLECER REBUSTES MA, LAC, NCC
PO BOX 1173
UNION, NJ 07083-1173
Phone number: 908-962-7413
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