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1447038799
ANTHONY VILLANUEVA
FAIR OAKS, CA
NPI
1447038799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12469)
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
ANTHONY VILLANUEVA SUDRC
8086 ORANGE AVE
FAIR OAKS, CA 95628-5941
Phone number: 888-629-6707
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Mailing Address
ANTHONY VILLANUEVA SUDRC
20271 SW BIRCH ST
NEWPORT BEACH, CA 92660-1752
Phone number:
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