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1811016868
JOSE SAUCEDO
POMONA, CA
NPI
1811016868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 040851)
Enumeration Date
2007-03-29
Last Update Date
2019-07-09
Business Address
JOSE SAUCEDO
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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Mailing Address
JOSE SAUCEDO
216 S CONCORD ST
LOS ANGELES, CA 90063-3020
Phone number: 323-262-1786
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