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1700077211
ALEXANDER CORDOVA
RIALTO, CA
NPI
1700077211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-08-08
Last Update Date
2015-06-23
Business Address
-- ALEXANDER CORDOVA CADC-II
850 E FOOTHILL BLVD
RIALTO, CA 92376-5230
Phone number: 909-421-4613
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Mailing Address
-- ALEXANDER CORDOVA CADC-II
3050 CAYENNE WAY
PERRIS, CA 92571-6910
Phone number: 951-448-6220
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