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1104977594
EDUARDO ARCHULETA
WEST COVINA, CA
NPI
1104977594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
Mr. EDUARDO ARCHULETA
1825 E THELBORN ST
WEST COVINA, CA 91791-1442
Phone number: 626-915-3844
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Mailing Address
Mr. EDUARDO ARCHULETA
1825 E THELBORN ST
WEST COVINA, CA 91791-1442
Phone number: 626-915-3844
Copy
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