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1598487886
JOSEPH ANICETO JACOME
SAN DIEGO, CA
NPI
1598487886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1482010922)
Enumeration Date
2022-09-14
Last Update Date
2023-01-31
Business Address
JOSEPH ANICETO JACOME
7545 METROPOLITAN DR
SAN DIEGO, CA 92108-4402
Phone number: 619-718-9890
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Mailing Address
JOSEPH ANICETO JACOME
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-691-8164
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