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1619000528
GEORGE TELLEZ
REDDING, CA
NPI
1619000528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 0163)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- GEORGE TELLEZ
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 530-245-6421
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Mailing Address
-- GEORGE TELLEZ
555 REDDINGTON DR
REDDING, CA 96003-5217
Phone number: 530-222-7695
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