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1427429570
DORA FUENTES
EL CENTRO, CA
NPI
1427429570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-10-15
Last Update Date
2015-10-15
Business Address
-- DORA FUENTES
200 S 5TH ST
EL CENTRO, CA 92243-3013
Phone number: 760-482-0864
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Mailing Address
-- DORA FUENTES
535 CESAR CHAVEZ BLVD
CALEXICO, CA 92231-2103
Phone number: 760-357-6566
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