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1144665183
FERNANDO CRUZ
SAN JOSE, CA
NPI
1144665183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C 4650711)
Enumeration Date
2013-05-03
Last Update Date
2013-05-03
Business Address
-- FERNANDO CRUZ CADC 1
976 LENZEN AVE ROOM 1900
SAN JOSE, CA 95126-2737
Phone number: 408-792-5652
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Mailing Address
-- FERNANDO CRUZ CADC 1
976 LENZEN AVE ROOM 1900
SAN JOSE, CA 95126-2737
Phone number: 408-792-5652
Copy
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