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Individual

MR. EUGENE EDWARD BELL III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MFT

Contact information

Practice address
25916 AVENUE 17 STE A, MADERA, CA 93638-2860
(559) 615-0105
Mailing address
25916 AVENUE 17 STE A, MADERA, CA 93638-2860
(559) 675-0105

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
94-1412648
PREVENTION INTERVENTION
CA
Enumeration date
04/12/2019
Last updated
04/12/2019
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