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1396037602
JERICO YANEZ
SACRAMENTO, CA
NPI
1396037602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-05-04
Last Update Date
2011-05-04
Business Address
-- JERICO YANEZ
43L43 WILLIAMSBOURGH DR,
SACRAMENTO, CA 95823
Phone number: 916-395-3552
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Mailing Address
-- JERICO YANEZ
43L43 WILLIAMSBOURGH DR,
SACRAMENTO, CA 95823
Phone number: 916-395-3552
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