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1043917776
MARTIN GALLARDO
SAN PEDRO, CA
NPI
1043917776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1495280123)
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
MARTIN GALLARDO RADT
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
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Mailing Address
MARTIN GALLARDO RADT
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
Copy
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