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1801551957
CHRIS LEO CISNEROS
SANTA ANA, CA
NPI
1801551957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15007-RAC)
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
Mr. CHRIS LEO CISNEROS
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-953-9373
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Mailing Address
Mr. CHRIS LEO CISNEROS
15115 TOLMAN DR
WHITTIER, CA 90604-1550
Phone number: 714-514-5795
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