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1376901587
GILBERT DE LA FUENTE
FRESNO, CA
NPI
1376901587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-02
Last Update Date
2016-02-02
Business Address
Mr. GILBERT DE LA FUENTE
2772 S. MARTIN LUTHER KING JR BLVD
FRESNO, CA 93703
Phone number: 559-265-4800
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Mailing Address
Mr. GILBERT DE LA FUENTE
16628 HILL DR
MADERA, CA 93638-2819
Phone number: 559-645-2288
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