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1295305084
JOSE LUIS ROMERO
EUREKA, CA
NPI
1295305084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
Mr. JOSE LUIS ROMERO N/A
2107 1ST ST. EUREKA. CA. 95501 N/A
EUREKA, CA 95501
Phone number: 707-273-6395
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Mailing Address
Mr. JOSE LUIS ROMERO N/A
470 GRANITE AVE APT B
ARCATA, CA 95521-8240
Phone number: 323-448-9876
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