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Individual
ADRIAN CARLOS RUIZ
Active
Individual
ADRIAN CARLOS RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1244120217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XEH906388190
BLUE CALIFORNIA
CA
Enumeration date
06/15/2018
Last updated
06/15/2018
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