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1285198788
JONATHAN JAY MEDINA
ANAHEIM, CA
NPI
1285198788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 122283)
Enumeration Date
2019-01-29
Last Update Date
2024-11-20
Business Address
JONATHAN JAY MEDINA
711 E BALL RD
ANAHEIM, CA 92805-5930
Phone number: 714-254-8473
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Mailing Address
JONATHAN JAY MEDINA
711 E BALL RD
ANAHEIM, CA 92805-5930
Phone number: 714-254-8473
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