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1790188589
JACOB ORTIZ
RENO, NV
NPI
1790188589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV C-DAC I #01415i)
Enumeration Date
2014-10-07
Last Update Date
2014-10-07
Business Address
-- JACOB ORTIZ
900 W 1ST ST STE 200
RENO, NV 89503-5587
Phone number: 775-332-8941
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Mailing Address
-- JACOB ORTIZ
900 W 1ST ST STE 200
RENO, NV 89503-5587
Phone number: 775-332-8941
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