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1366034928
SUSAN M ORTEGA
HESPERIA, CA
NPI
1366034928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-02-05
Last Update Date
2021-02-05
Business Address
SUSAN M ORTEGA
11776 MARIPOSA RD STE 103104
HESPERIA, CA 92345-1622
Phone number: 760-956-2462
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Mailing Address
SUSAN M ORTEGA
8139 PEACH AVE
HESPERIA, CA 92345-7139
Phone number: 323-547-9067
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