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1396941555
JORGE MIJARES
COLTON, CA
NPI
1396941555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-25
Last Update Date
2022-01-20
Business Address
Mr. JORGE MIJARES
2275 E COOLEY DR
COLTON, CA 92324-6324
Phone number: 909-370-1777
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Mailing Address
Mr. JORGE MIJARES
2275 E COOLEY DR
COLTON, CA 92324-6324
Phone number: 909-937-0177
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