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1972880706
JOSE LUIS YANEZ
SANTA ANA, CA
NPI
1972880706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
-- JOSE LUIS YANEZ
2101 E 1ST ST
SANTA ANA, CA 92705-4007
Phone number: 714-542-3581
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Mailing Address
-- JOSE LUIS YANEZ
1919 E ROMNEYA DR APT 341
ANAHEIM, CA 92805-1330
Phone number: 714-404-8962
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