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1306260591
ETHAN PADILLA
CONCORD, CA
NPI
1306260591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-02-10
Last Update Date
2014-02-10
Business Address
-- ETHAN PADILLA
1121 DETROIT AVENUE
CONCORD, CA 94520
Phone number: 925-685-7613
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Mailing Address
-- ETHAN PADILLA
1121 DETROIT AVENUE
CONCORD, CA 94520
Phone number: 925-685-7613
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