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1265109037
EDWARD FUENTES
SANTA FE SPRINGS, CA
NPI
1265109037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
EDWARD FUENTES
10425 PAINTER AVE
SANTA FE SPRINGS, CA 90670-3429
Phone number: 562-906-2685
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Mailing Address
EDWARD FUENTES
10425 PAINTER AVE
SANTA FE SPRINGS, CA 90670-3429
Phone number: 562-906-2685
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