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1376794404
JACKELINE M DUQUE
LOS ANGELES, CA
NPI
1376794404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2008-10-07
Last Update Date
2008-10-07
Business Address
Ms. JACKELINE M DUQUE
622 SAN PASCUAL AVE
LOS ANGELES, CA 90042-3838
Phone number: 213-487-9800
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Mailing Address
Ms. JACKELINE M DUQUE
622 SAN PASCUAL AVE
LOS ANGELES, CA 90042-3838
Phone number: 213-487-9800
Copy
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