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1023471232
JOSE VIDRIO
LOS ANGELES, CA
NPI
1023471232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-04-04
Last Update Date
2016-04-04
Business Address
-- JOSE VIDRIO
333 S CENTRAL AVE
LOS ANGELES, CA 90013-1724
Phone number: 213-625-5009
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Mailing Address
-- JOSE VIDRIO
1646 N FAIR OAKS AVE
PASADENA, CA 91103-1615
Phone number: 323-419-9854
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