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1467796839
FERNANDO GONTERMAN
BOSTON, MA
NPI
1467796839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-11-24
Last Update Date
2012-11-24
Business Address
-- FERNANDO GONTERMAN
205 PORTLAND ST
BOSTON, MA 02114-1721
Phone number: 617-523-2214
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Mailing Address
-- FERNANDO GONTERMAN
3131 MOONLIGHT RIDGE ARC
LAS CRUCES, NM 88011-1639
Phone number: 706-312-9499
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