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1013618453
EDDY FUENTES
LEMON GROVE, CA
NPI
1013618453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-03-13
Last Update Date
2023-03-13
Business Address
EDDY FUENTES
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-442-0277
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Mailing Address
EDDY FUENTES
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-442-0277
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