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1588425771
JONATHAN CHRISTOPHER CHAIDEZ
FRESNO, CA
NPI
1588425771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1541670124)
Enumeration Date
2024-01-16
Last Update Date
2024-01-16
Business Address
JONATHAN CHRISTOPHER CHAIDEZ
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9041
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Mailing Address
JONATHAN CHRISTOPHER CHAIDEZ
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9041
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