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1255952172
DERRICK RUIZ
SAN DIEGO, CA
NPI
1255952172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 2313921)
Enumeration Date
2020-05-01
Last Update Date
2023-05-27
Business Address
Mr. DERRICK RUIZ CATC - III
3575 PERSHING AVE
SAN DIEGO, CA 92104-3413
Phone number: 619-294-4526
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Mailing Address
Mr. DERRICK RUIZ CATC - III
3575 PERSHING AVE
SAN DIEGO, CA 92104-3413
Phone number: 619-294-4526
Copy
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