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1770072639
OSCAR OCTAVIO DUARTE
EL CENTRO, CA
NPI
1770072639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-05-07
Last Update Date
2018-05-07
Business Address
OSCAR OCTAVIO DUARTE
495 E ORANGE AVE
EL CENTRO, CA 92243-2744
Phone number: 760-353-6151
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Mailing Address
OSCAR OCTAVIO DUARTE
495 E ORANGE AVE
EL CENTRO, CA 92243-2744
Phone number: 760-353-6151
Copy
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