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1912334707
JACKIE ANDRADE HERNANDEZ
SAN DIEGO, CA
NPI
1912334707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-10-11
Last Update Date
2013-10-11
Business Address
-- JACKIE ANDRADE HERNANDEZ
1212 S 43RD ST SUITE C
SAN DIEGO, CA 92113-3434
Phone number: 619-263-7768
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Mailing Address
-- JACKIE ANDRADE HERNANDEZ
1212 S 43RD ST SUITE C
SAN DIEGO, CA 92113-3434
Phone number: 619-263-7768
Copy
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