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Individual
MR. JORGE PULIDO SANCHEZ
Active
Individual
MR. JORGE PULIDO SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADDESO411260827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADDESO411260827
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10
MEDICAL
CA
Enumeration date
01/11/2016
Last updated
01/11/2016
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