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1194851410
JOEY JESSE REYNOSO
FRESNO, CA
NPI
1194851410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
-- JOEY JESSE REYNOSO
114 E SHAW AVE STE 210
FRESNO, CA 93710-7621
Phone number: 559-221-8100
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Mailing Address
-- JOEY JESSE REYNOSO
222 W ALAMOS AVE APT 103C
CLOVIS, CA 93612-3611
Phone number: 559-790-9785
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