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1710427299
JOSEPH CORRALEJO
SANTA CRUZ, CA
NPI
1710427299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C0603130437)
Enumeration Date
2017-03-02
Last Update Date
2017-03-02
Business Address
-- JOSEPH CORRALEJO
125 RIGG ST
SANTA CRUZ, CA 95060-4203
Phone number: 831-423-3890
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Mailing Address
-- JOSEPH CORRALEJO
125 RIGG ST
SANTA CRUZ, CA 95060-4203
Phone number: 831-423-3890
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