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1629534599
OCTAVIO HERNANDEZ RUVALCABA
SANTA ANA, CA
NPI
1629534599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-15
Last Update Date
2022-09-29
Business Address
OCTAVIO HERNANDEZ RUVALCABA
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-953-9373
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Mailing Address
OCTAVIO HERNANDEZ RUVALCABA
206 N JACKSON ST STE 202
GLENDALE, CA 91206-4330
Phone number:
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