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1396259107
JONATHAN LAWRENCE MANJARREZ
TORRANCE, CA
NPI
1396259107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2017-12-01
Last Update Date
2017-12-01
Business Address
JONATHAN LAWRENCE MANJARREZ
1334 POST AVE
TORRANCE, CA 90501-2620
Phone number: 310-328-1460
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Mailing Address
JONATHAN LAWRENCE MANJARREZ
1334 POST AVE
TORRANCE, CA 90501-2620
Phone number:
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