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1609439744
AGUSTIN HERNANDEZ SALAZAR
REDLANDS, CA
NPI
1609439744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-04-15
Last Update Date
2019-04-15
Business Address
AGUSTIN HERNANDEZ SALAZAR RADT
1889 W REDLANDS BLVD
REDLANDS, CA 92373-3119
Phone number: 909-501-5167
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Mailing Address
AGUSTIN HERNANDEZ SALAZAR RADT
475 E CYPRESS AVE APT 200
REDLANDS, CA 92373-6112
Phone number: 530-650-7638
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