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1982127684
JUAN CARLOS VENEGAS
RIVERSIDE, CA
NPI
1982127684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
JUAN CARLOS VENEGAS
17270 ROOSEVELT AVE
RIVERSIDE, CA 92508
Phone number: 951-780-2541
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Mailing Address
JUAN CARLOS VENEGAS
21651 OLD ELSINORE RD
PERRIS, CA 92570
Phone number: 951-662-3395
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