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1881991842
JACOB W CHARLES
RENO, NV
NPI
1881991842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NV GF-125403151)
Enumeration Date
2011-02-27
Last Update Date
2011-02-27
Business Address
-- JACOB W CHARLES
411 MILL ST
RENO, NV 89502-1025
Phone number: 775-351-7057
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Mailing Address
-- JACOB W CHARLES
710 HUNTER LAKE DR
RENO, NV 89509-1216
Phone number:
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