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1104101377
VENNY MONDRAGON
CONCORD, CA
NPI
1104101377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CAS 103426)
Enumeration Date
2011-10-19
Last Update Date
2011-10-19
Business Address
Mr. VENNY MONDRAGON
2090 COMMERCE AVE
CONCORD, CA 94520-4902
Phone number: 925-676-2580
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Mailing Address
Mr. VENNY MONDRAGON
2090 COMMERCE AVE
CONCORD, CA 94520-4902
Phone number: 925-676-2580
Copy
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