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1851059596
ELIJAH NATHANIEL FORTES
CHULA VISTA, CA
NPI
1851059596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
ELIJAH NATHANIEL FORTES
1196 3RD AVE
CHULA VISTA, CA 91911-3131
Phone number: 619-427-4661
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Mailing Address
ELIJAH NATHANIEL FORTES
1196 3RD AVE
CHULA VISTA, CA 91911-3131
Phone number: 619-427-4661
Copy
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