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1407256670
JONATHAN GOMEZ-BETANCOURT
VISALIA, CA
NPI
1407256670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA D6754637)
Enumeration Date
2014-08-25
Last Update Date
2014-08-25
Business Address
-- JONATHAN GOMEZ-BETANCOURT
220 N LOCUST ST
VISALIA, CA 93291-4946
Phone number: 559-627-1385
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Mailing Address
-- JONATHAN GOMEZ-BETANCOURT
220 N LOCUST ST
VISALIA, CA 93291-4946
Phone number: 559-627-1385
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