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1790109619
CARLOS ALBERTO SIEZAR
COLTON, CA
NPI
1790109619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-02-12
Last Update Date
2015-12-30
Business Address
Mr. CARLOS ALBERTO SIEZAR
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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Mailing Address
Mr. CARLOS ALBERTO SIEZAR
400 N. PEPPER AVE
COLTON, CA 92324
Phone number: 909-580-3144
Copy
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