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1902569585
ANTHONY DAVID ORTEGA
FRESNO, CA
NPI
1902569585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13475)
Enumeration Date
2021-10-20
Last Update Date
2021-10-20
Business Address
ANTHONY DAVID ORTEGA
1235 E ST
FRESNO, CA 93706-2024
Phone number: 559-268-6261
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Mailing Address
ANTHONY DAVID ORTEGA
1235 E ST
FRESNO, CA 93706-2024
Phone number: 559-268-6261
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