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1265152201
DIANE SYLVIA ORTIZ
EL MONTE, CA
NPI
1265152201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1380460320)
Enumeration Date
2022-08-30
Last Update Date
2022-08-30
Business Address
DIANE SYLVIA ORTIZ R1380460320
3430 COGSWELL RD
EL MONTE, CA 91732-2785
Phone number: 626-453-3406
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Mailing Address
DIANE SYLVIA ORTIZ R1380460320
3430 COGSWELL RD
EL MONTE, CA 91732-2785
Phone number: 626-453-3406
Copy
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