GEORGE ALBERT BACA

GARDEN GROVE, CA
NPI1083795025
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-10-18
Last Update Date2007-07-08
Business Address
Mr. GEORGE ALBERT BACA
9842 W.13TH ST
GARDEN GROVE, CA 92844
Phone number: 714-531-4624
Mailing Address
Mr. GEORGE ALBERT BACA
13562 LA FORGE ST
WHITTIER, CA 90605-2234
Phone number: 626-536-0986
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