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1861618324
MICHAEL ANTHONY FUENTES
SANTA MARIA, CA
NPI
1861618324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- MICHAEL ANTHONY FUENTES
105 N LINCOLN ST
SANTA MARIA, CA 93458-4319
Phone number: 805-928-1707
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Mailing Address
-- MICHAEL ANTHONY FUENTES
105 N LINCOLN ST
SANTA MARIA, CA 93458-4319
Phone number: 805-928-1707
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