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1295195733
COSME JESUS GOMEZ
SAN DIEGO, CA
NPI
1295195733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C036580116)
Enumeration Date
2016-02-25
Last Update Date
2016-02-25
Business Address
-- COSME JESUS GOMEZ CADC-CAS
1031 25TH ST
SAN DIEGO, CA 92102-2102
Phone number: 619-232-6454
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Mailing Address
-- COSME JESUS GOMEZ CADC-CAS
1119 34TH ST APT D
SAN DIEGO, CA 92102-2451
Phone number: 619-995-4400
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