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1376631259
JACK E. HOLLIS
TUCSON, AZ
NPI
1376631259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LMSW-11007)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- JACK E. HOLLIS
4901 E 5TH ST
TUCSON, AZ 85711-2203
Phone number: 520-327-4505
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Mailing Address
-- JACK E. HOLLIS
127 S 5TH AVE
TUCSON, AZ 85701-2005
Phone number: 520-327-4505
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