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1124148267
ERNESTO QUIROZ
LOS ANGELES, CA
NPI
1124148267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
-- ERNESTO QUIROZ
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 310-668-3043
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Mailing Address
-- ERNESTO QUIROZ
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 310-668-3043
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