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1306254826
EDWARD SANDOVAL
BANNING, CA
NPI
1306254826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-28
Last Update Date
2014-07-28
Business Address
-- EDWARD SANDOVAL AOD COUNSELOR
245 N MURRAY ST
BANNING, CA 92220-5528
Phone number: 951-663-8366
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Mailing Address
-- EDWARD SANDOVAL AOD COUNSELOR
245 N MURRAY ST
BANNING, CA 92220-5528
Phone number: 951-663-8366
Copy
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