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1710645312
CRESENCIO CASTANEDA
MERCED, CA
NPI
1710645312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-01
Last Update Date
2021-12-01
Business Address
CRESENCIO CASTANEDA SUDC
301 E 13TH ST
MERCED, CA 95341-6211
Phone number: 209-381-6800
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Mailing Address
CRESENCIO CASTANEDA SUDC
PO BOX 2087
MERCED, CA 95344-0087
Phone number: 209-381-6800
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