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1760502264
JUAN PACHECO
SANTA CRUZ, CA
NPI
1760502264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CAS4544)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- JUAN PACHECO
1000A EMELINE AVE
SANTA CRUZ, CA 95060-1900
Phone number: 831-425-0112
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Mailing Address
-- JUAN PACHECO
1000A EMELINE AVE
SANTA CRUZ, CA 95060-1900
Phone number: 831-425-0112
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