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1124391156
JAVIER MELENDREZ
SAN FERNANDO, CA
NPI
1124391156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA D8848886)
Enumeration Date
2012-02-22
Last Update Date
2012-02-22
Business Address
-- JAVIER MELENDREZ
1012 GRIFFITH ST
SAN FERNANDO, CA 91340-4031
Phone number: 818-814-4552
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Mailing Address
-- JAVIER MELENDREZ
1012 GRIFFITH ST
SAN FERNANDO, CA 91340-4031
Phone number: 818-814-4552
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