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1164873543
MIGUEL HORTA
INDIO, CA
NPI
1164873543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 334201)
Enumeration Date
2016-06-27
Last Update Date
2016-06-27
Business Address
-- MIGUEL HORTA
83844 HOPI AVE
INDIO, CA 92203-2638
Phone number: 760-347-9442
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Mailing Address
-- MIGUEL HORTA
83844 HOPI AVE
INDIO, CA 92203-2638
Phone number:
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