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1184814246
MARCO JULIO AZUCENA
OAKLAND, CA
NPI
1184814246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 60615)
Enumeration Date
2007-07-25
Last Update Date
2007-07-25
Business Address
Mr. MARCO JULIO AZUCENA
1315 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-536-4760
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Mailing Address
Mr. MARCO JULIO AZUCENA
1319 FRUITVALE AVE
OAKLAND, CA 94601-2927
Phone number: 510-535-2303
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