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1902334360
JACOB SOUZA
LONG BEACH, CA
NPI
1902334360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2017-05-30
Last Update Date
2017-05-30
Business Address
Mr. JACOB SOUZA
4340 MAURY AVE
LONG BEACH, CA 90807-2537
Phone number: 562-270-6344
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Mailing Address
Mr. JACOB SOUZA
19072 LINDSAY LN
HUNTINGTON BEACH, CA 92646-2224
Phone number: 714-403-5736
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