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1124307152
MILTON BLANCO
FRESNO, CA
NPI
1124307152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-08-08
Last Update Date
2011-08-08
Business Address
-- MILTON BLANCO
3253 E HEDGES AVE
FRESNO, CA 93703-4065
Phone number: 888-885-5580
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Mailing Address
-- MILTON BLANCO
PO BOX 820
FOWLER, CA 93625-0820
Phone number:
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