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1740896760
EMMANUEL CORTEZ FORD
EL CAJON, CA
NPI
1740896760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
Mr. EMMANUEL CORTEZ FORD
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-691-8164
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Mailing Address
Mr. EMMANUEL CORTEZ FORD
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-691-8164
Copy
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