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Individual
JESUS F AGREGADO
Active
Individual
JESUS F AGREGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER CASE MANAGER
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2923
CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER
—
Enumeration date
04/09/2007
Last updated
07/16/2007
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