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1114669645
RAFAEL GONZALEZ
TARZANA, CA
NPI
1114669645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1464400322)
Enumeration Date
2022-04-13
Last Update Date
2022-04-28
Business Address
RAFAEL GONZALEZ
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number: 818-996-1051
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Mailing Address
RAFAEL GONZALEZ
5325 NEWCASTLE AVE UNIT 333
ENCINO, CA 91316-3069
Phone number: 818-459-2652
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