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1619164779
EDUARDO BETANCOURT
PICO RIVERA, CA
NPI
1619164779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-02
Last Update Date
2007-10-02
Business Address
-- EDUARDO BETANCOURT
5200 SAN GABRIEL PL
PICO RIVERA, CA 90660-2497
Phone number: 562-222-1331
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Mailing Address
-- EDUARDO BETANCOURT
26460 SUMMIT CIR
SANTA CLARITA, CA 91350-2991
Phone number:
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