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1972207553
JACOB ROSE
LOS ANGELES, CA
NPI
1972207553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 137184)
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
JACOB ROSE
12665 VILLAGE LN APT 3519
LOS ANGELES, CA 90094-2853
Phone number: 415-686-2327
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Mailing Address
JACOB ROSE
12665 VILLAGE LN APT 3519
LOS ANGELES, CA 90094-2853
Phone number: 415-686-2327
Copy
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