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1003452905
OMAR TEJADA
REDDING, CA
NPI
1003452905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2019-11-26
Last Update Date
2019-11-26
Business Address
Mr. OMAR TEJADA
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 530-225-5252
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Mailing Address
Mr. OMAR TEJADA
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 530-710-5838
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