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1164934592
MARIO D MIJARES
OCEANSIDE, CA
NPI
1164934592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ZZ 0346)
Enumeration Date
2017-10-25
Last Update Date
2017-10-25
Business Address
MARIO D MIJARES CCS ADC II
1648 AVENIDA ANDANTE
OCEANSIDE, CA 92056-6908
Phone number: 808-721-9634
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Mailing Address
MARIO D MIJARES CCS ADC II
1648 AVENIDA ANDANTE
OCEANSIDE, CA 92056-6908
Phone number: 808-721-9634
Copy
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