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1710308689
ISAIAH RICARDO JENKINS
COMPTON, CA
NPI
1710308689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA #2c-05-877-1015)
Enumeration Date
2013-12-19
Last Update Date
2013-12-19
Business Address
-- ISAIAH RICARDO JENKINS
363 W COMPTON BLVD
COMPTON, CA 90220-3110
Phone number: 310-800-8218
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Mailing Address
-- ISAIAH RICARDO JENKINS
357 W COMPTON BLVD
COMPTON, CA 90220-3110
Phone number: 310-800-8218
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