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1154443455
HENRY MORENO
FRENCH CAMP, CA
NPI
1154443455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
MR. HENRY MORENO
500 WEST HOSPITAL ROAD
FRENCH CAMP, CA 95231
Phone number: 209-468-6862
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Mailing Address
MR. HENRY MORENO
850 W SNEED RD
FRENCH CAMP, CA 95231-9606
Phone number: 209-982-4901
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