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1104417526
MARK FUENTES
MERCED, CA
NPI
1104417526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
MARK FUENTES
1020 W MAIN ST
MERCED, CA 95340-4521
Phone number: 209-336-8206
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Mailing Address
MARK FUENTES
3123 INDEPENDENCE DR
LIVERMORE, CA 94551-7595
Phone number: 925-999-4199
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