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1871030221
GARY ALAN YZAGUIRRE
VICTORVILLE, CA
NPI
1871030221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 168530)
Enumeration Date
2017-01-24
Last Update Date
2017-01-24
Business Address
-- GARY ALAN YZAGUIRRE
15770 MOJAVE DR SUITE L
VICTORVILLE, CA 92394-1934
Phone number: 760-843-7809
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Mailing Address
-- GARY ALAN YZAGUIRRE
243 E 48TH ST
SAN BERNARDINO, CA 92404-1213
Phone number: 909-582-5234
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