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1386103018
JIM POLIDO JOAQUIN
SAN DIEGO, CA
NPI
1386103018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A6231212)
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
JIM POLIDO JOAQUIN SUD Counselor
3539 COLLEGE AVE
SAN DIEGO, CA 92115-7032
Phone number: 619-818-3788
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Mailing Address
JIM POLIDO JOAQUIN SUD Counselor
3539 COLLEGE AVE
SAN DIEGO, CA 92115-7032
Phone number: 619-818-3788
Copy
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