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1235891367
FERNANDO LUIS VALENZUELA
FOWLER, CA
NPI
1235891367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15923)
Enumeration Date
2021-10-06
Last Update Date
2023-07-27
Business Address
FERNANDO LUIS VALENZUELA
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452
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Mailing Address
FERNANDO LUIS VALENZUELA
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452
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