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1154749463
WALTER QUINTANILLA
COLTON, CA
NPI
1154749463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-04-03
Last Update Date
2014-04-03
Business Address
-- WALTER QUINTANILLA
790 S. VIA LATA STE 300
COLTON, CA 92334
Phone number: 909-433-0445
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Mailing Address
-- WALTER QUINTANILLA
790 VIA LATA STE 300
COLTON, CA 92324-3978
Phone number: 909-433-0445
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