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Jorge Gonzalez

Community/Behavioral Health in Toledo, OH. Individual provider (NPI-1).

NPI number1508345166
StatusActive
Last updated in NPPESAug 14, 2018

Details

NPI
1508345166
Entity type
Individual (NPI-1)
Name
Jorge Gonzalez
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 14, 2018
Last updated
Aug 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

830 N Summit St Ste 2
Toledo, OH 43604-1884

Phone 419-693-9600

Mailing address

830 N Summit St Ste 2
Toledo, OH 43604-1884

Phone 419-693-9600

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