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1659066827
PRUDENCIO TREVINO
EL CAJON, CA
NPI
1659066827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-04-05
Last Update Date
2023-04-05
Business Address
PRUDENCIO TREVINO SUDRC
550 FESLER ST STE G-1
EL CAJON, CA 92020-1959
Phone number: 619-588-5361
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Mailing Address
PRUDENCIO TREVINO SUDRC
550 FESLER ST STE G-1
EL CAJON, CA 92020-1959
Phone number: 619-588-5361
Copy
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