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1366910275
DANIEL GUSTAVO VALADEZ
EL CENTRO, CA
NPI
1366910275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-08
Last Update Date
2018-11-09
Business Address
DANIEL GUSTAVO VALADEZ
200 S 5TH ST
EL CENTRO, CA 92243-3013
Phone number: 760-482-0864
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Mailing Address
DANIEL GUSTAVO VALADEZ
200 S 5TH ST
EL CENTRO, CA 92243-3013
Phone number: 760-482-0864
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