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1417206152
SERGIO OMAR DELA ROSA
HEMET, CA
NPI
1417206152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-09-07
Last Update Date
2020-10-14
Business Address
SERGIO OMAR DELA ROSA
601 E FLORIDA AVE
HEMET, CA 92543-4335
Phone number: 951-391-1470
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Mailing Address
SERGIO OMAR DELA ROSA
601 E FLORIDA AVE
HEMET, CA 92543-4335
Phone number:
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