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1750569380
THEODORE JAKES
RIVERSIDE, CA
NPI
1750569380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C8572406)
Enumeration Date
2008-02-06
Last Update Date
2008-02-06
Business Address
Mr. THEODORE JAKES
1777 ATLANTA AVE STE G1
RIVERSIDE, CA 92507
Phone number: 951-778-3500
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Mailing Address
Mr. THEODORE JAKES
1170 KRAEMER DR
CORONA, CA 92882
Phone number:
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