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1073120341
GUADELUPE BOTELLO
LAREDO, TX
NPI
1073120341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11212)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
GUADELUPE BOTELLO LCDC
1205 E HILLSIDE RD
LAREDO, TX 78041-3318
Phone number: 956-728-0440
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Mailing Address
GUADELUPE BOTELLO LCDC
1205 E HILLSIDE RD
LAREDO, TX 78041-3318
Phone number:
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