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1336577931
FERNANDO BANUELOS
FRESNO, CA
NPI
1336577931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-10-17
Last Update Date
2013-10-17
Business Address
-- FERNANDO BANUELOS
7225 N 1ST ST STE. 101
FRESNO, CA 93720-2986
Phone number: 559-221-8100
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Mailing Address
-- FERNANDO BANUELOS
7225 N 1ST ST STE. 101
FRESNO, CA 93720-2986
Phone number: 559-221-8100
Copy
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