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1811147564
ALFREDO TELLEZ
PASADENA, CA
NPI
1811147564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-30
Last Update Date
2008-09-30
Business Address
-- ALFREDO TELLEZ
659 E. WALNUT STREET
PASADENA, CA 91101
Phone number: 626-844-0410
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Mailing Address
-- ALFREDO TELLEZ
659 E. WALNUT STREET
PASADENA, CA 91101
Phone number: 626-844-0410
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