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1265509590
MARIO BELTRAN
FORT GORDON, GA
NPI
1265509590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
Mr. MARIO BELTRAN MHS
300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905-5741
Phone number: 706-787-2720
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Mailing Address
Mr. MARIO BELTRAN MHS
300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905-5741
Phone number: 706-787-2720
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