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1619757572
JOSE CANDELARIO JIMENEZ
LOS ANGELES, CA
NPI
1619757572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
JOSE CANDELARIO JIMENEZ
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 213-529-0963
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Mailing Address
JOSE CANDELARIO JIMENEZ
1736 W 23RD ST
LOS ANGELES, CA 90018-2101
Phone number: 323-237-5452
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