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1497224125
JOSE JIMENEZ
FRESNO, CA
NPI
1497224125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
JOSE JIMENEZ
2772 MARTIN L. KING BLVD
FRESNO, CA 93706
Phone number: 559-265-4800
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Mailing Address
JOSE JIMENEZ
7240 N 1ST ST
FRESNO, CA 93720-2910
Phone number: 559-513-0566
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