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1396192191
JAKE SIMPKINS
SAN DIEGO, CA
NPI
1396192191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-05-21
Last Update Date
2016-05-21
Business Address
-- JAKE SIMPKINS
3511 INDIA ST
SAN DIEGO, CA 92103-4739
Phone number: 619-294-5760
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Mailing Address
-- JAKE SIMPKINS
3511 INDIA ST
SAN DIEGO, CA 92103-4739
Phone number: 619-294-5760
Copy
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