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1740732437
EZEKIEL ELIZALDE
VISALIA, CA
NPI
1740732437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA B6980291)
Enumeration Date
2016-10-27
Last Update Date
2016-10-27
Business Address
-- EZEKIEL ELIZALDE
220 N LOCUST ST
VISALIA, CA 93291-4946
Phone number: 559-627-1385
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Mailing Address
-- EZEKIEL ELIZALDE
220 N LOCUST ST
VISALIA, CA 93291-4946
Phone number: 559-627-1385
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