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1528709227
JESUS CASTILLLO JIMENEZ
SANTA CRUZ, CA
NPI
1528709227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-04-05
Last Update Date
2023-05-17
Business Address
JESUS CASTILLLO JIMENEZ
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-4911
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Mailing Address
JESUS CASTILLLO JIMENEZ
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-4911
Copy
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