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1366631442
VERSIA JACOBS
LOS ANGELES, CA
NPI
1366631442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-15
Last Update Date
2007-10-15
Business Address
-- VERSIA JACOBS
5151 S WESTERN AVE
LOS ANGELES, CA 90062-2333
Phone number: 818-997-6876
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Mailing Address
-- VERSIA JACOBS
1021 W STOCKWELL ST
COMPTON, CA 90222-3320
Phone number: 562-716-8108
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