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1962695049
RICARDO TYRMAINE JENKINS
FRESNO, CA
NPI
1962695049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-08-22
Last Update Date
2007-08-22
Business Address
RICARDO TYRMAINE JENKINS
114 E SHAW AVE STE 210
FRESNO, CA 93710-7621
Phone number: 559-221-8100
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Mailing Address
RICARDO TYRMAINE JENKINS
4524 W PALO ALTO AVE APT 204
FRESNO, CA 93722-2952
Phone number: 559-907-4894
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