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1295904555
ALFONSO JIMENEZ
FRESNO, CA
NPI
1295904555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-02-20
Last Update Date
2008-02-20
Business Address
-- ALFONSO JIMENEZ
114 E SHAW AVE STE 210
FRESNO, CA 93710-7621
Phone number: 559-221-8100
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Mailing Address
-- ALFONSO JIMENEZ
370 PIERCE DR
CLOVIS, CA 93612-0742
Phone number: 951-300-7361
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