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1699852392
JUAN A ORTIZ
ROXBURY, MA
NPI
1699852392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA 1593)
Enumeration Date
2006-11-01
Last Update Date
2020-03-11
Business Address
JUAN A ORTIZ LADC-1 C.A.S.
45 DIMOCK ST
ROXBURY, MA 02119-1208
Phone number: 617-442-8800
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Mailing Address
JUAN A ORTIZ LADC-1 C.A.S.
55 DIMOCK ST
ROXBURY, MA 02119-1029
Phone number: 617-442-8800
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