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1578991642
CARLOS SEGURA
FOWLER, CA
NPI
1578991642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-10-28
Last Update Date
2013-10-28
Business Address
-- CARLOS SEGURA
9596 S FOWLER AVE
FOWLER, CA 93625-9638
Phone number: 559-892-9452
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Mailing Address
-- CARLOS SEGURA
123 E MERCED ST
FOWLER, CA 93625-2312
Phone number: 559-892-9452
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