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1982304416
GENE JAQUEZ
FRESNO, CA
NPI
1982304416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14598)
Enumeration Date
2023-03-03
Last Update Date
2023-03-13
Business Address
GENE JAQUEZ
3707 E SHIELDS AVE
FRESNO, CA 93726-7029
Phone number: 559-229-9040
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Mailing Address
GENE JAQUEZ
3040 E CARMEN AVE
FRESNO, CA 93703-4003
Phone number:
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