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1669152302
CARLOS A CORRAL
INDIO, CA
NPI
1669152302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 101YA0400X)
Enumeration Date
2023-07-18
Last Update Date
2023-07-18
Business Address
CARLOS A CORRAL
44374 PALM ST
INDIO, CA 92201-3117
Phone number: 760-342-6616
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Mailing Address
CARLOS A CORRAL
44374 PALM ST
INDIO, CA 92201-3117
Phone number: 760-342-6616
Copy
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