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1831947860
ROSA ALEJANDRA BANUELOS
RIVERSIDE, CA
NPI
1831947860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-05-06
Last Update Date
2024-05-06
Business Address
ROSA ALEJANDRA BANUELOS RADT
6860 BROCKTON AVE
RIVERSIDE, CA 92506-3821
Phone number: 951-224-9940
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Mailing Address
ROSA ALEJANDRA BANUELOS RADT
6860 BROCKTON AVE
RIVERSIDE, CA 92506-3821
Phone number:
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