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1417123852
ANTHONY VALDEZ
FAIRFIELD, CA
NPI
1417123852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 051081)
Enumeration Date
2008-05-06
Last Update Date
2008-05-06
Business Address
ANTHONY VALDEZ
1745 ENTERPRISE DR BLDG 2 SUITE I-64
FAIRFIELD, CA 94533
Phone number: 707-427-6640
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Mailing Address
ANTHONY VALDEZ
5302 PANAMA AVE
RICHMOND, CA 94804-5440
Phone number: 707-427-6640
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