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1740813690
ANTHONY ORTEGA
COVINA, CA
NPI
1740813690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-19
Last Update Date
2020-02-19
Business Address
ANTHONY ORTEGA
540 S EREMLAND DR
COVINA, CA 91723-3186
Phone number: 626-966-1577
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Mailing Address
ANTHONY ORTEGA
540 S EREMLAND DR
COVINA, CA 91723-3186
Phone number: 626-966-1577
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