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1194425777
MIGUEL ANGEL CERVANTES
FONTANA, CA
NPI
1194425777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2023-03-03
Last Update Date
2023-03-15
Business Address
MIGUEL ANGEL CERVANTES
17053 FOOTHILL BLVD
FONTANA, CA 92335-3574
Phone number: 909-347-1300
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Mailing Address
MIGUEL ANGEL CERVANTES
1932 BROADMOOR BLVD
SAN BERNARDINO, CA 92404-4936
Phone number: 909-676-1702
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