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1629343355
MANUEL G CORDERO
FAIRFIELD, CA
NPI
1629343355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
MANUEL G CORDERO
1735 ENTERPRISE DR
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
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Mailing Address
MANUEL G CORDERO
502 LABRADOR WAY
SUISUN CITY, CA 94585-2920
Phone number:
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