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1639840861
ERIC ORTIZ
SAN DIEGO, CA
NPI
1639840861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
Enumeration Date
2021-09-27
Last Update Date
2021-09-27
Business Address
ERIC ORTIZ
8875 COSTA VERDE BLVD
SAN DIEGO, CA 92122-6656
Phone number: 505-917-8018
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Mailing Address
ERIC ORTIZ
P.O. BOX 249 #86086
ALBUQUERQUE, NM 87103
Phone number: 505-917-8018
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