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1972195642
ALFONSO BORUNDA
SANTA MARIA, CA
NPI
1972195642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
ALFONSO BORUNDA
801 E CHAPEL ST
SANTA MARIA, CA 93454-4607
Phone number: 805-332-4568
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Mailing Address
ALFONSO BORUNDA
801 E CHAPEL ST
SANTA MARIA, CA 93454-4607
Phone number: 805-332-4568
Copy
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