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1407690795
CARLOS JUAREZ
SAN DIEGO, CA
NPI
1407690795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1529731023)
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
CARLOS JUAREZ RADT I
4930 NAPLES ST
SAN DIEGO, CA 92110-3820
Phone number: 619-269-8967
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Mailing Address
CARLOS JUAREZ RADT I
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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