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1598156671
JOSE LUIS FERNANDEZ
SANTA CRUZ, CA
NPI
1598156671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-02-11
Last Update Date
2020-08-19
Business Address
JOSE LUIS FERNANDEZ
1080 EMELINE AVE
SANTA CRUZ, CA 95060-1966
Phone number: 831-707-5310
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Mailing Address
JOSE LUIS FERNANDEZ
1080 EMELINE AVE
SANTA CRUZ, CA 95060-1966
Phone number: 831-707-5310
Copy
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