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1386193126
JOSE GODINEZ
COVINA, CA
NPI
1386193126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-09-21
Last Update Date
2016-09-21
Business Address
Mr. JOSE GODINEZ CATC1
4626 N GRAND AVE
COVINA, CA 91724-2055
Phone number: 626-331-5316
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Mailing Address
Mr. JOSE GODINEZ CATC1
20375 E CALORA ST
COVINA, CA 91724-1226
Phone number: 626-926-9918
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