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1518497189
JERRETT JAY FERNANDEZ
MILWAUKEE, WI
NPI
1518497189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18199-130)
Enumeration Date
2017-06-15
Last Update Date
2022-07-21
Business Address
JERRETT JAY FERNANDEZ SAC-IT, CNA
1681 N PROSPECT AVE
MILWAUKEE, WI 53202-6720
Phone number: 414-273-8484
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Mailing Address
JERRETT JAY FERNANDEZ SAC-IT, CNA
1681 N PROSPECT AVE
MILWAUKEE, WI 53202-6720
Phone number: 414-273-8484
Copy
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