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1447016316
JOSE BLANCO
SANTA FE SPRINGS, CA
NPI
1447016316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-02-27
Last Update Date
2024-02-27
Business Address
JOSE BLANCO
9300 SANTA FE SPRINGS RD
SANTA FE SPRINGS, CA 90670-2621
Phone number: 562-273-0462
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Mailing Address
JOSE BLANCO
12070 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670-3771
Phone number: 562-777-7500
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