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1902529688
SOPHIA FUENTES
POMONA, CA
NPI
1902529688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 101YA0400X)
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
SOPHIA FUENTES
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
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Mailing Address
SOPHIA FUENTES
13920 JOYCEDALE ST
LA PUENTE, CA 91746-1028
Phone number: 562-302-3267
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