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1306233135
JOSE NICOLAS FLORES
SAN ANTONIO, TX
NPI
1306233135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 25541)
Enumeration Date
2015-04-20
Last Update Date
2015-04-20
Business Address
-- JOSE NICOLAS FLORES LCDC-I
12301 BLANCO RD APT 1710
SAN ANTONIO, TX 78216-2128
Phone number: 210-487-1887
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Mailing Address
-- JOSE NICOLAS FLORES LCDC-I
PO BOX 12781
SAN ANTONIO, TX 78212
Phone number: 210-487-1887
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