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1285107946
JONATHAN HIGGINS
SAN PEDRO, CA
NPI
1285107946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1318970818)
Enumeration Date
2019-01-05
Last Update Date
2019-01-05
Business Address
Mr. JONATHAN HIGGINS
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
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Mailing Address
Mr. JONATHAN HIGGINS
PO BOX 328
SAN PEDRO, CA 90733-0328
Phone number: 310-514-4940
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