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1033443833
MANUEL LUPE ORTIZ
FRESNO, CA
NPI
1033443833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-09-25
Last Update Date
2009-09-25
Business Address
-- MANUEL LUPE ORTIZ
2772 MARTIN LUTHER KING BLVD
FRESNO, CA 93706
Phone number: 559-265-4800
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Mailing Address
-- MANUEL LUPE ORTIZ
1139 S ORANGE AVE
FRESNO, CA 93702-3458
Phone number: 559-268-1224
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