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1174230759
GUSTAVO ADOLFO ESCOBAR
FRESNO, CA
NPI
1174230759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: CA 85884)
Enumeration Date
2022-11-02
Last Update Date
2023-01-24
Business Address
GUSTAVO ADOLFO ESCOBAR CTRS
2615 E CLINTON AVE
FRESNO, CA 93703-2223
Phone number: 559-225-6100
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Mailing Address
GUSTAVO ADOLFO ESCOBAR CTRS
2867 SANTA CRUZ AVE
MERCED, CA 95340-2673
Phone number: 209-631-4166
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