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1407239858
JESUS ALFONSO PADILLA
SANTA ANA, CA
NPI
1407239858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-07-02
Last Update Date
2015-07-02
Business Address
-- JESUS ALFONSO PADILLA
1525 E 17TH ST STE B
SANTA ANA, CA 92705-8523
Phone number: 714-542-0400
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Mailing Address
-- JESUS ALFONSO PADILLA
1640 W CATALPA DR APT 11
ANAHEIM, CA 92801-4108
Phone number: 714-797-3417
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