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1730398413
CARLOS A CHAVEZ
ONTARIO, CA
NPI
1730398413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-21
Last Update Date
2022-05-09
Business Address
CARLOS A CHAVEZ
125 W F ST
ONTARIO, CA 91762-3201
Phone number: 909-986-4550
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Mailing Address
CARLOS A CHAVEZ
1193 ERICK DR
CORONA, CA 92881-7250
Phone number: 951-317-8154
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