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1386920403
EDUARDO ANTONIO ORTIZ
KERRVILLE, TX
NPI
1386920403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 9762)
Enumeration Date
2011-11-03
Last Update Date
2011-11-03
Business Address
Mr. EDUARDO ANTONIO ORTIZ LCDC
102 BUSINESS DR W
KERRVILLE, TX 78028-4326
Phone number: 830-367-4667
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Mailing Address
Mr. EDUARDO ANTONIO ORTIZ LCDC
102 BUSINESS DR W
KERRVILLE, TX 78028-4326
Phone number: 830-367-4667
Copy
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