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1740831551
JAKOB RENATO PERKOV
SAN PEDRO, CA
NPI
1740831551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
JAKOB RENATO PERKOV
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
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Mailing Address
JAKOB RENATO PERKOV
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number:
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