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1841488004
CONNIE JENKINS
FREMONT, CA
NPI
1841488004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA J0412282011)
Enumeration Date
2007-10-11
Last Update Date
2007-10-11
Business Address
Mrs. CONNIE JENKINS
4510 PERALTA BLVD SUITE 1
FREMONT, CA 94536-5755
Phone number: 510-713-3202
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Mailing Address
Mrs. CONNIE JENKINS
4510 PERALTA BLVD SUITE 1
FREMONT, CA 94536-5755
Phone number: 510-713-3202
Copy
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