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1063991933
RAFAEL SANDOVAL
EL MONTE, CA
NPI
1063991933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-08-10
Last Update Date
2020-03-09
Business Address
RAFAEL SANDOVAL
3430 COGSWELL RD
EL MONTE, CA 91732-2785
Phone number: 626-453-3406
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Mailing Address
RAFAEL SANDOVAL
2436 WABASH AVE
LOS ANGELES, CA 90033-2510
Phone number: 323-780-8756
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