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1922339613
JONATHAN S CAVAZOS
FRESNO, CA
NPI
1922339613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-01-20
Last Update Date
2010-01-20
Business Address
Mr. JONATHAN S CAVAZOS
611 E BELMONT AVE
FRESNO, CA 93701-1502
Phone number: 559-237-3420
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Mailing Address
Mr. JONATHAN S CAVAZOS
5770 N GENTRY AVE APT 228
FRESNO, CA 93711-6528
Phone number: 559-362-6517
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