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1245953041
AUGUSTINE RENE ALONZO
FRESNO, CA
NPI
1245953041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14004)
Enumeration Date
2022-09-26
Last Update Date
2022-10-11
Business Address
AUGUSTINE RENE ALONZO
2772 S. MARTIN LUTHER KING BLVD
FRESNO, CA 93706
Phone number: 559-981-8904
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Mailing Address
AUGUSTINE RENE ALONZO
2772 S. MARTIN LUTHER KING BLVD
FRESNO, CA 93706
Phone number: 559-981-8904
Copy
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