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1962125203
BERTHA A FUENTES
SAN DIEGO, CA
NPI
1962125203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-09-21
Last Update Date
2022-11-16
Business Address
BERTHA A FUENTES
3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108-1738
Phone number: 928-581-6478
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Mailing Address
BERTHA A FUENTES
181 E ORANGE AVE APT 3
CHULA VISTA, CA 91911-5436
Phone number: 928-581-6478
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