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1134986771
EZARIA ZELELEW YIRGU
RIVERSIDE, CA
NPI
1134986771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-02-29
Last Update Date
2024-02-29
Business Address
EZARIA ZELELEW YIRGU
6860 BROCKTON AVE STE 9
RIVERSIDE, CA 92506-3816
Phone number: 951-224-9940
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Mailing Address
EZARIA ZELELEW YIRGU
6860 BROCKTON AVE STE 9
RIVERSIDE, CA 92506-3816
Phone number: 951-224-9940
Copy
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