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1811164627
JAIME HORTADO
PANORAMA CITY, CA
NPI
1811164627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-05-12
Last Update Date
2008-05-12
Business Address
-- JAIME HORTADO
14418 CHASE ST.
PANORAMA CITY, CA 91402
Phone number: 818-830-9500
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Mailing Address
-- JAIME HORTADO
7521 ZOMBAR
VAN NUYS, CA 91406
Phone number:
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