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1922706720
ISRAEL JUAN URENA
BAKERSFIELD, CA
NPI
1922706720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RADT)
Enumeration Date
2023-02-21
Last Update Date
2023-02-21
Business Address
ISRAEL JUAN URENA
531 KNOTTS ST
BAKERSFIELD, CA 93305-3043
Phone number: 661-325-1817
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Mailing Address
ISRAEL JUAN URENA
PO BOX 3218
BAKERSFIELD, CA 93385-3218
Phone number: 661-325-1817
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