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1275141137
ANGEL MARCANTHONY ORTEGA
RIVERSIDE, CA
NPI
1275141137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 13673-R)
Enumeration Date
2020-07-16
Last Update Date
2020-07-16
Business Address
ANGEL MARCANTHONY ORTEGA
4440 UNIVERSITY AVE
RIVERSIDE, CA 92501-3199
Phone number: 951-683-6596
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Mailing Address
ANGEL MARCANTHONY ORTEGA
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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