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1831350156
JORGE AGUILAR
BROWN DEER, WI
NPI
1831350156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 14669-132)
Enumeration Date
2008-06-19
Last Update Date
2008-06-19
Business Address
JORGE AGUILAR CSAC
4555 W SCHROEDER DR
BROWN DEER, WI 53223-1475
Phone number: 414-586-0222
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Mailing Address
JORGE AGUILAR CSAC
2101 S 60TH ST
WEST ALLIS, WI 53219-1569
Phone number:
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