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1225590300
JOAQUIN A BURGOS
SAN MARCOS, CA
NPI
1225590300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-04-05
Last Update Date
2019-04-05
Business Address
Mr. JOAQUIN A BURGOS
340 RANCHEROS DR STE 166
SAN MARCOS, CA 92069-2980
Phone number: 760-744-3672
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Mailing Address
Mr. JOAQUIN A BURGOS
340 RANCHEROS DR STE 166
SAN MARCOS, CA 92069-2980
Phone number: 760-744-3672
Copy
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