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1235620493
JORGE NICOLAS CHAVEZ
VISALIA, CA
NPI
1235620493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 7017)
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
JORGE NICOLAS CHAVEZ
942 S SANTA FE ST
VISALIA, CA 93292-2912
Phone number: 559-636-4000
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Mailing Address
JORGE NICOLAS CHAVEZ
942 S SANTA FE ST
VISALIA, CA 93292-2912
Phone number: 559-636-4000
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