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1194039933
ROBERT ORTEGA
SAN LUIS OBISPO, CA
NPI
1194039933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-08-04
Last Update Date
2010-08-04
Business Address
Mr. ROBERT ORTEGA
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-4275
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Mailing Address
Mr. ROBERT ORTEGA
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-4275
Copy
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