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1124204961
ISAIS WELLINGTON SMITH
COVINA, CA
NPI
1124204961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-01-10
Last Update Date
2011-08-08
Business Address
-- ISAIS WELLINGTON SMITH
4740 N GRAND AVE
COVINA, CA 91724-2005
Phone number: 626-859-2089
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Mailing Address
-- ISAIS WELLINGTON SMITH
4740 N GRAND AVE
COVINA, CA 91724-2005
Phone number: 626-859-2980
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