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1699209841
MARIANA NICOLE ORTIZ
POMONA, CA
NPI
1699209841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-14
Last Update Date
2017-04-14
Business Address
-- MARIANA NICOLE ORTIZ
1050 N GAREY AVE
POMONA, CA 91767-3802
Phone number: 909-623-6391
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Mailing Address
-- MARIANA NICOLE ORTIZ
719 CENTER AVE
GLENDORA, CA 91740-6340
Phone number: 626-327-4885
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