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1598590168
GLEN JONES
CERES, CA
NPI
1598590168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 24838)
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
GLEN JONES
1904 RICHLAND AVE BLDG C1
CERES, CA 95307-4562
Phone number: 209-525-7411
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Mailing Address
GLEN JONES
3125 FRONTIER DR
CERES, CA 95307-9415
Phone number: 209-447-5932
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