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1790276731
ERAN JAX BARKER
DIAMOND SPRINGS, CA
NPI
1790276731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 1255760617)
Enumeration Date
2018-05-25
Last Update Date
2022-06-17
Business Address
ERAN JAX BARKER SUDRC 12517
484 MAIN ST
DIAMOND SPRINGS, CA 95619-9100
Phone number: 916-502-6239
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Mailing Address
ERAN JAX BARKER SUDRC 12517
484 MAIN ST
DIAMOND SPRINGS, CA 95619-9100
Phone number:
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