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1720480650
JOSE RENTERIA
LA PUENTE, CA
NPI
1720480650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Rw7465)
Enumeration Date
2014-09-23
Last Update Date
2014-09-23
Business Address
Mr. JOSE RENTERIA
15229 AMAR RD
LA PUENTE, CA 91744-2066
Phone number: 626-855-5090
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Mailing Address
Mr. JOSE RENTERIA
15229 AMAR RD
LA PUENTE, CA 91744-2066
Phone number: 626-855-5090
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