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1679518211
EDDIE PINON ORNELAS
TUCSON, AZ
NPI
1679518211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC - 10521)
Enumeration Date
2006-06-18
Last Update Date
2007-07-08
Business Address
-- EDDIE PINON ORNELAS
4901 E 5TH ST
TUCSON, AZ 85711-2203
Phone number: 520-327-4505
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Mailing Address
-- EDDIE PINON ORNELAS
127 S 5TH AVE
TUCSON, AZ 85701-2005
Phone number: 520-327-4505
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