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1750637625
JOSE M MIRAMONTES
FRESNO, CA
NPI
1750637625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
-- JOSE M MIRAMONTES
7170 N FINANCIAL DR SUITE 135
FRESNO, CA 93720-2939
Phone number: 559-221-8100
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Mailing Address
-- JOSE M MIRAMONTES
2059 E SPRUCE AVE APT 211
FRESNO, CA 93720-0181
Phone number: 559-515-9946
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