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1063715209
JOSE ANTONIO ROSALES
LOS ANGELES, CA
NPI
1063715209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-09
Last Update Date
2010-12-09
Business Address
-- JOSE ANTONIO ROSALES
4715 CRENSHAW BLVD
LOS ANGELES, CA 90043-1233
Phone number: 323-988-3744
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Mailing Address
-- JOSE ANTONIO ROSALES
2525 VETERAN AVENUE
LOS ANGELES, CA 90064
Phone number: 310-308-5081
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