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1619498367
JOSE ANTONIO HABRE
PHOENIX, AZ
NPI
1619498367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-0370)
Enumeration Date
2017-07-03
Last Update Date
2022-07-21
Business Address
JOSE ANTONIO HABRE LISAC
6401 S 16TH ST # 17
PHOENIX, AZ 85042-4417
Phone number: 602-434-8457
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Mailing Address
JOSE ANTONIO HABRE LISAC
6401 S 16TH ST # 17
PHOENIX, AZ 85042-4417
Phone number: 602-434-8457
Copy
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