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1083498885
MANUEL DE LA TORRE
INDIO, CA
NPI
1083498885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2023-08-22
Last Update Date
2023-10-31
Business Address
MANUEL DE LA TORRE
44199 MONROE ST STE B
INDIO, CA 92201-3094
Phone number: 760-863-8047
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Mailing Address
MANUEL DE LA TORRE
84871 AVENUE 52
COACHELLA, CA 92236-2407
Phone number: 760-485-8293
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