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1083795025
GEORGE ALBERT BACA
GARDEN GROVE, CA
NPI
1083795025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
Mr. GEORGE ALBERT BACA
9842 W.13TH ST
GARDEN GROVE, CA 92844
Phone number: 714-531-4624
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Mailing Address
Mr. GEORGE ALBERT BACA
13562 LA FORGE ST
WHITTIER, CA 90605-2234
Phone number: 626-536-0986
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