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1760820104
KEVIN BRIAN JANEWAY
OXNARD, CA
NPI
1760820104
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Former Name
ART FORM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-06-07
Last Update Date
2013-06-07
Business Address
Mr. KEVIN BRIAN JANEWAY
426 W. 5TH STREET OXNARD CLUBHOUSE
OXNARD, CA 93030
Phone number: 805-247-0750
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Mailing Address
Mr. KEVIN BRIAN JANEWAY
505 POLI ST SUITE 401
VENTURA, CA 93001-4964
Phone number: 805-247-0750
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