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1073663092
ELISEO GONZALES SILVA
LOS ANGELES, CA
NPI
1073663092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Mr. ELISEO GONZALES SILVA
550 S VERMONT AVE FL 6
LOS ANGELES, CA 90020-1912
Phone number: 213-351-8980
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Mailing Address
Mr. ELISEO GONZALES SILVA
14573 PADDOCK ST
SYLMAR, CA 91342-4050
Phone number: 213-351-8980
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