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1285760942
JESSE GORTAREZ
SAN LUIS OBISPO, CA
NPI
1285760942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
JESSE GORTAREZ
277 SOUTH ST SUITE T
SAN LUIS OBISPO, CA 93401-5039
Phone number: 805-788-2033
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Mailing Address
JESSE GORTAREZ
277 SOUTH ST SUITE T
SAN LUIS OBISPO, CA 93401-5039
Phone number: 805-788-2033
Copy
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