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1568085827
JOSE AHUMADA ROSALES
FRESNO, CA
NPI
1568085827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10745)
Enumeration Date
2020-05-21
Last Update Date
2023-09-07
Business Address
Mr. JOSE AHUMADA ROSALES SUDRC#10745
1414 W KEARNEY BLVD
FRESNO, CA 93706-2702
Phone number: 559-485-0501
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Mailing Address
Mr. JOSE AHUMADA ROSALES SUDRC#10745
1414 W KEARNEY BLVD
FRESNO, CA 93706-2702
Phone number: 559-485-0501
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