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1598120867
EDWARD JONATHANS
SAN JOSE, CA
NPI
1598120867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
-- EDWARD JONATHANS
90 GREAT OAKS BLVD 108
SAN JOSE, CA 95119-1314
Phone number: 408-281-0708
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Mailing Address
-- EDWARD JONATHANS
90 GREAT OAKS BLVD 108
SAN JOSE, CA 95119
Phone number: 408-281-0708
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