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1992010458
JUAN LUIS TIENDA
FRESNO, CA
NPI
1992010458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-08-09
Last Update Date
2010-08-09
Business Address
-- JUAN LUIS TIENDA
114 E SHAW AVE STE 210
FRESNO, CA 93710-7621
Phone number: 559-221-8100
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Mailing Address
-- JUAN LUIS TIENDA
114 E SHAW AVE STE 210
FRESNO, CA 93710-7621
Phone number: 559-221-8100
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