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1194937136
GERALD RUACHO
FRESNO, CA
NPI
1194937136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- GERALD RUACHO
2772 S. MARTIN LUTHER KING JR. BLVD
FRESNO, CA 93706
Phone number: 559-265-4800
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Mailing Address
-- GERALD RUACHO
PO BOX 10122
FRESNO, CA 92745
Phone number: 559-493-0328
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