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1417512484
CIDDY FONTEBOA
EL MONTE, CA
NPI
1417512484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-06
Last Update Date
2019-05-06
Business Address
CIDDY FONTEBOA
11041 VALLEY BLVD
EL MONTE, CA 91731-2516
Phone number: 626-442-4177
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Mailing Address
CIDDY FONTEBOA
11041 VALLEY BLVD
EL MONTE, CA 91731-2516
Phone number: 626-442-4177
Copy
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