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1265965552
IRAM H MORENO-MONTELONGO
VISTA, CA
NPI
1265965552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-04
Last Update Date
2017-04-05
Business Address
-- IRAM H MORENO-MONTELONGO
504 W VISTA WAY
VISTA, CA 92083-5704
Phone number: 760-940-1836
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Mailing Address
-- IRAM H MORENO-MONTELONGO
504 W VISTA WAY
VISTA, CA 92083-5704
Phone number: 760-940-1836
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