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1144363177
ISMAEL RODRIGUEZ
COLUSA, CA
NPI
1144363177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
Mr. ISMAEL RODRIGUEZ
162 E CARSON ST
COLUSA, CA 95932-2866
Phone number: 530-458-0520
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Mailing Address
Mr. ISMAEL RODRIGUEZ
162 E CARSON ST
COLUSA, CA 95932-2866
Phone number: 530-458-0520
Copy
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