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1548732191
JUAN ANTONIO JIMENEZ
LAKE VIEW TERRACE, CA
NPI
1548732191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-20
Last Update Date
2018-12-20
Business Address
JUAN ANTONIO JIMENEZ
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 661-406-8764
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Mailing Address
JUAN ANTONIO JIMENEZ
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 661-406-8764
Copy
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