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Individual

ABRAHAM AGUIRRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
831 E ARROW HWY, POMONA, CA 91767-2535
(909) 626-4244
Mailing address
18612 SANTA ANA AVE, BLOOMINGTON, CA 92316-2639
(909) 421-7120
(909) 421-7128

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker

Other

Enumeration date
03/08/2022
Last updated
06/20/2023
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