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1841059086
IVAN ANTONIO GUERRERO
FAIR OAKS, CA
NPI
1841059086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1543710124)
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
Mr. IVAN ANTONIO GUERRERO RADT
8086 ORANGE AVE
FAIR OAKS, CA 95628-5941
Phone number: 916-534-7226
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Mailing Address
Mr. IVAN ANTONIO GUERRERO RADT
20271 SW BIRCH ST
NEWPORT BEACH, CA 92660-1752
Phone number:
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