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1275264285
EDGAR FUERTE
SANTA CRUZ, CA
NPI
1275264285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1399200720)
Enumeration Date
2022-06-21
Last Update Date
2022-06-21
Business Address
EDGAR FUERTE
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060
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Mailing Address
EDGAR FUERTE
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number:
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